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[快速进展性颅内大动脉粥样硬化,一种罕见的卒中病因]

[Rapidly progressive intracranial large artery aterosclerosis, a rare stroke etiology].

作者信息

Sarria-Estrada S, Antón-Jiménez A, Martínez-Sáez E, Tortajada-Bustelo J C, Rovira A

机构信息

Hospital Universitari Vall d'Hebron, 08035 Barcelona, España.

出版信息

Rev Neurol. 2023 Apr 16;76(8):273-275. doi: 10.33588/rn.7608.2022328.

Abstract

INTRODUCTION

Intracranial atheromatosis is one of the most frequent causes of stroke. It is usually a slowly progressive process and normally associated with the sum of vascular risk factors.

CASE REPORT

In this case we present a rapidly progressive development of intracranial atheromatosis demonstrated by serial neuroimaging techniques and sample analysis in a 72-year-old female patient with high levels of interleukin-6 and C-reactive protein, with no signs of vasculitis.

CONCLUSION

Rapidly progressive intracranial atheromatosis should be considered in adult patients over 50 years of age with recurrent stroke.

摘要

引言

颅内动脉粥样硬化是中风最常见的病因之一。它通常是一个缓慢进展的过程,通常与血管危险因素的总和相关。

病例报告

在本病例中,我们通过系列神经影像学技术和样本分析展示了一名72岁女性患者颅内动脉粥样硬化的快速进展,该患者白细胞介素-6和C反应蛋白水平高,无血管炎迹象。

结论

50岁以上反复中风的成年患者应考虑快速进展性颅内动脉粥样硬化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5def/10478135/05ed4b6ed8dd/RN-76-273-g001.jpg

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