Department of Neurology, General Hospital Celje, Oblakova ulica 5, 3000, Celje, Slovenia.
Faculty of Medicine, University of Ljubljana, Vrazov trg 2, SI-1000, Ljubljana, Slovenia.
Wien Klin Wochenschr. 2023 Mar;135(5-6):158-161. doi: 10.1007/s00508-022-02072-5. Epub 2022 Aug 27.
Acute ischemic stroke in patients younger than the age of 50 years is a rare occurrence that results in high mortality and substantial loss of functional years of life. Internal carotid artery dissection (CAD) presents a rare, but serious condition that needs to be fully evaluated and carefully treated, as it may lead to an acute ischemic stroke in all, but mostly in younger patients. A possible cause for CAD, the carotid artery type of Eagle syndrome (ESy), is atypical and underrecognized. In this case report we present a case of a young patient with carotid artery type of ESy, resulting in a severe acute ischemic stroke. Only recognition of such a syndrome in its early symptomatic phase could allow appropriate management to prevent this kind of a deleterious outcome.
50 岁以下的急性缺血性脑卒中是一种罕见的疾病，会导致高死亡率和大量丧失功能的生命年。颈内动脉夹层（CAD）是一种罕见但严重的疾病，需要进行全面评估和仔细治疗，因为它可能导致所有患者，尤其是年轻患者发生急性缺血性脑卒中。CAD 的一个可能病因是颈动脉型 Ehlers-Danlos 综合征（ESy），其表现不典型且认识不足。在本病例报告中，我们介绍了一例颈动脉型 ESy 的年轻患者，其导致严重的急性缺血性脑卒中。只有在早期有症状阶段识别出这种综合征，才能进行适当的治疗来预防这种有害的结果。
