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以面部疼痛为表现的椎基底动脉迂曲扩张：一例报告

Dolichoectasia of vertebrobasilar artery presenting as facial pain: a case report.

作者信息

Vadhanan Prasanna

机构信息

Department of Anaesthesiology, Vinayaka Missions Medical College and Hospitals, Vinayaka Missions Research Foundation, Karaikal, India.

Pain Clinic, Mayiladuthurai, India.

出版信息

J Dent Anesth Pain Med. 2023 Aug;23(4):237-240. doi: 10.17245/jdapm.2023.23.4.237. Epub 2023 Jul 29.

DOI:10.17245/jdapm.2023.23.4.237
PMID:37559669
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10407453/
Abstract

Dolichoectasia of the intracranial arteries is a rare condition characterized by elongated and tortuous arteries due to progressive destruction of the vessel walls. Although most patients present with cerebrovascular accidents, our patient presented with intractable facial pain along the distribution of the trigeminal nerve. Clinical examination revealed involvement of the 5th, 7th, and 8th cranial nerves, and subsequent MRI showed dolichoectasia of the left basilar artery. The patient experienced symptomatic relief after a trial of carbamazepine along with botulinum toxin injections.

摘要

颅内动脉迂曲扩张是一种罕见的病症，其特征是由于血管壁的渐进性破坏导致动脉伸长和扭曲。尽管大多数患者表现为脑血管意外，但我们的患者表现为沿三叉神经分布的顽固性面部疼痛。临床检查发现第5、7和8对脑神经受累，随后的磁共振成像显示左基底动脉迂曲扩张。在试用卡马西平并注射肉毒杆菌毒素后，患者症状得到缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33ff/10407453/28092971eab9/jdapm-23-237-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33ff/10407453/51ea4f6b4fbd/jdapm-23-237-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33ff/10407453/28092971eab9/jdapm-23-237-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33ff/10407453/51ea4f6b4fbd/jdapm-23-237-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33ff/10407453/28092971eab9/jdapm-23-237-g002.jpg

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本文引用的文献

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Dolichoectasia: a brain arterial disease with an elusive treatment.梭形动脉瘤：一种治疗方法尚不明晰的脑部动脉疾病。
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Botulinum Toxin for the Treatment of Hemifacial Spasm: An Update on Clinical Studies.肉毒毒素治疗半面痉挛：临床研究更新。
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Prevalence and Clinical Correlates of Intracranial Dolichoectasia in Individuals With Ischemic Stroke.颅内迂曲扩张在缺血性脑卒中患者中的患病率及临床相关性。
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High-resolution computed tomography of the basilar artery: 2. Vertebrobasilar dolichoectasia: clinical-pathologic correlation and review.基底动脉的高分辨率计算机断层扫描：2. 椎基底动脉延长扩张症：临床病理相关性及综述
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