非典型纤维肌性颈动脉发育异常导致的青年复发性卒中
Recurrent stroke in young adults caused by atypical fibromuscular carotid dysplasia.
作者信息
Charifi Yahya, Bouchal Siham, Sekkat Ghita, Aassouani Farid, El Bouardi Nizar, Haloua Meryem, Alami Badreeddine, Boubbou Meryem, Belahsen Mohamed Faouzi, Maaroufi Mustapha, Lamrani Moulay Youssef Alaoui
机构信息
Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco.
Department of General Neurology and Neurovascular service, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco.
出版信息
Radiol Case Rep. 2022 Aug 22;17(10):4034-4042. doi: 10.1016/j.radcr.2022.07.081. eCollection 2022 Oct.
BACKGROUND
Carotid Web and focal carotid diaphragm are atypical fibromuscular dysplasia. The bilateral stroke due to this dysplasia is extremely rare. We will report a series of three young patients, admitted for a bilateral ischemic stroke caused by carotid bulb web and internal carotid diaphragm. Also, we will discuss their manifestations and treatment modalities.
CASE PRESENTATIONS
In our study, we will report a series of three North African patients, two females an one male, at the mean age of 37, admitted for an ischemic stroke caused by bilateral carotid bulb web and bilateral internal carotid diaphragm.All of our patients were young and didn't have a history of drug use.
CONCLUSIONS
In our series, only end-vascular treatment was performed which was necessary to prevent any recurrence. Antiplatelet therapy was used in all cases to prevent any stroke during the follow-up.
背景
颈动脉嵴和局灶性颈动脉隔膜属于非典型纤维肌发育不良。由这种发育不良导致的双侧中风极为罕见。我们将报告一组三名年轻患者，他们因颈动脉球嵴和颈内动脉隔膜导致双侧缺血性中风入院。此外，我们还将讨论其临床表现和治疗方式。
病例介绍
在我们的研究中，我们将报告一组三名北非患者，两名女性和一名男性，平均年龄37岁，因双侧颈动脉球嵴和双侧颈内动脉隔膜导致缺血性中风入院。我们所有的患者都很年轻，且无吸毒史。
结论
在我们的病例系列中，仅进行了血管内治疗，这对于预防任何复发是必要的。所有病例均使用抗血小板治疗以预防随访期间的任何中风。
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