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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.

DOI:10.1016/j.radcr.2022.07.081
PMID:36042892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9420354/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e17/9420354/fa91006c3725/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e17/9420354/9d37f908d69f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e17/9420354/fa91006c3725/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e17/9420354/9d37f908d69f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e17/9420354/fa91006c3725/gr5.jpg

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本文引用的文献

1
Carotid Web Misdiagnosis.颈动脉血管壁迂曲误诊。
World Neurosurg. 2020 Aug;140:128-130. doi: 10.1016/j.wneu.2020.04.091. Epub 2020 Apr 24.
2
A Systematic Literature Review of Patients With Carotid Web and Acute Ischemic Stroke.颈动脉壁血管外皮细胞瘤与急性缺血性脑卒中患者的系统性文献回顾
Stroke. 2018 Dec;49(12):2872-2876. doi: 10.1161/STROKEAHA.118.021907.
3
Carotid Web (Intimal Fibromuscular Dysplasia) Has High Stroke Recurrence Risk and Is Amenable to Stenting.颈动脉嵴(内膜纤维肌发育不良)具有较高的卒中复发风险且适合进行支架置入术。
Stroke. 2017 Nov;48(11):3134-3137. doi: 10.1161/STROKEAHA.117.019020. Epub 2017 Oct 10.
4
Carotid Bulb Webs as a Cause of "Cryptogenic" Ischemic Stroke.颈动脉球部网作为“隐源性”缺血性卒中的一个病因
AJNR Am J Neuroradiol. 2017 Jul;38(7):1399-1404. doi: 10.3174/ajnr.A5208. Epub 2017 May 11.
5
Carotid diaphragm: Atypical fibromuscular dysplasia or atheromatous lesions?颈动脉隔膜:非典型纤维肌发育不良还是动脉粥样硬化病变?
Rev Neurol (Paris). 2017 Apr;173(4):230-233. doi: 10.1016/j.neurol.2017.03.012. Epub 2017 Apr 6.
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MR imaging of carotid webs.颈动脉蹼的磁共振成像
Neuroradiology. 2017 Apr;59(4):361-365. doi: 10.1007/s00234-017-1797-z. Epub 2017 Mar 6.
7
Association Between Carotid Bulb Diaphragm and Ischemic Stroke in Young Afro-Caribbean Patients: A Population-Based Case-Control Study.颈动脉窦部与年轻非裔加勒比患者缺血性卒中的相关性:一项基于人群的病例对照研究。
Stroke. 2016 Oct;47(10):2641-4. doi: 10.1161/STROKEAHA.116.013918. Epub 2016 Sep 13.
8
Flow Diversion for the Treatment of Intracranial Aneurysms.血流导向装置治疗颅内动脉瘤。
JAMA Neurol. 2016 Aug 1;73(8):1002-8. doi: 10.1001/jamaneurol.2016.0609.
9
Carotid Web: Appearance at MR Angiography.颈动脉嵴:磁共振血管造影表现
AJNR Am J Neuroradiol. 2016 Jan;37(1):E5-6. doi: 10.3174/ajnr.A4598. Epub 2015 Oct 15.
10
Carotid Webs and Recurrent Ischemic Strokes in the Era of CT Angiography.CT血管造影时代的颈动脉网与复发性缺血性卒中
AJNR Am J Neuroradiol. 2015 Nov;36(11):2134-9. doi: 10.3174/ajnr.A4431. Epub 2015 Jul 30.