儿童颈内动脉创伤性狭窄

Traumatic stenosis of the internal carotid artery in children.

作者信息

Ueda T, Kikuchi H, Karasawa J, Ihara I, Nagata I, Shishido H

出版信息

Surg Neurol. 1986 Oct;26(4):368-72. doi: 10.1016/0090-3019(86)90138-2.

Abstract

Two cases of stenosis of the internal carotid artery after blunt craniocervical trauma in children are described. Their neurological symptoms developed a few hours after the injury. A superficial temporal artery-middle cerebral artery anastomosis was performed in one, and the other was conservatively treated because of the spontaneous resolution of the stenosis. The pathophysiology and treatment of this clinical entity, especially in children, are discussed.

摘要

本文描述了两例儿童钝性颅颈创伤后颈内动脉狭窄的病例。他们的神经症状在受伤后数小时出现。其中一例进行了颞浅动脉-大脑中动脉吻合术，另一例因狭窄自发缓解而接受保守治疗。本文讨论了这一临床实体的病理生理学及治疗方法，尤其是在儿童中的情况。