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一例源自主动脉的椎动脉变异的罕见病例报告及其临床意义:揭示一种罕见的解剖结构

A Rare Case Report of a Vertebral Artery Variant Arising From the Aorta With Its Clinical Significance: An Uncommon Anatomy Unveiled.

作者信息

Bakir Mohamad, Dawalibi Ahmad, Elhossiny Asem H, Behiery Ayman

机构信息

College of Medicine, Alfaisal University, Riyadh, SAU.

Department of Anatomy, Alfaisal University, Riyadh, SAU.

出版信息

Cureus. 2023 Apr 17;15(4):e37716. doi: 10.7759/cureus.37716. eCollection 2023 Apr.

Abstract

The vertebrobasilar (VB) system, comprising two vertebral arteries and one basilar artery, is responsible for providing vital vascular supply to the central nervous system structures. Disruption in this network can lead to fatal neurologic outcomes, and variations in the origin of vessels may contribute to unexplained symptoms of clinical relevance. Therefore, an extensive understanding of the VB system's anatomy and its variations is crucial for diagnosing neurological disorders. Here, we report a case of a vertebral artery variant arising from the aortic arch proximal to the left subclavian artery in the cadaver of a 50-year-old male, discovered incidentally during a teaching dissection session. We also discuss the clinical pathophysiology and the relevance of the neurological symptoms in relation to the anomaly.

摘要

椎基底动脉(VB)系统由两条椎动脉和一条基底动脉组成,负责为中枢神经系统结构提供重要的血管供应。该网络的中断可导致致命的神经学后果,血管起源的变异可能导致具有临床相关性的不明症状。因此,全面了解VB系统的解剖结构及其变异对于诊断神经系统疾病至关重要。在此,我们报告一例在一名50岁男性尸体的教学解剖过程中偶然发现的椎动脉变异病例,该变异起源于左锁骨下动脉近端的主动脉弓。我们还讨论了临床病理生理学以及与该异常相关的神经症状的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d907/10191458/afeda136f968/cureus-0015-00000037716-i01.jpg

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