Chao Qi, Wang Pingping, Li He
Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250014, China.
Neurology Department , Xuanwu Hospital Capital Medical University, Beijing, 100053, China.
Neurol Sci. 2025 Mar;46(3):1429-1433. doi: 10.1007/s10072-024-07842-9. Epub 2024 Nov 1.
A middle-aged male who has experienced recurrent, reversible carotid artery stenosis and cerebral infarction over the past decade. Recurrent cerebral infarction is highly prevalent in clinical practice, with an accurate diagnosis of the cause of the disease being crucial. However, the patient is suffering from three diseases that may be involved in the recurrent cerebral infarction, including Reversible Cerebral Vasoconstriction Syndrome (RCVS), Bilateral Eagle Syndrome, and Patent Foramen Ovale (PFO). Among them, both RCVS and Bilateral Eagle Syndrome can lead to recurrent stenosis of the carotid arteries. But the coexistence of these diseases is extremely rare. The symptoms of patients are not typical, and the coexistence of all the three diseases makes it a challenging diagnostic dilemma. This article presents a diagnostic approach to differentiate these possible diseases, thereby enhancing readers' ability to diagnose such situations.
一名中年男性，在过去十年中经历了反复发作的、可逆性颈动脉狭窄和脑梗死。复发性脑梗死在临床实践中非常普遍，准确诊断病因至关重要。然而，该患者患有三种可能与复发性脑梗死有关的疾病，包括可逆性脑血管收缩综合征（RCVS）、双侧茎突过长综合征和卵圆孔未闭（PFO）。其中，RCVS和双侧茎突过长综合征均可导致颈动脉反复狭窄。但这些疾病同时存在极为罕见。患者症状不典型，三种疾病并存使其面临具有挑战性的诊断困境。本文介绍了一种鉴别这些可能疾病的诊断方法，从而提高读者诊断此类情况的能力。
