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蝶窦炎治疗后鼻窦炎改善颈内动脉狭窄：一例报告及文献复习

Improvements in Internal Carotid Artery Stenosis by Sinusitis Following Treatment of Sphenoid Sinusitis: A Case Report and Literature Review.

作者信息

Fushimi Shuto, Nomura Motohiro, Wada Takashi, Mori Kentaro, Fukui Issei, Tamase Akira, Yamada Ryo, Kojima Mari, Nakano Tatsu, Yamamoto Tetsuya

机构信息

Departments of Neurosurgery, Yokohama Sakae Kyosai Hospital, Japan.

Department of Neurosurgery, Yokohama City University Graduate School of Medicine, Japan.

出版信息

Intern Med. 2025 Aug 1;64(15):2406-2410. doi: 10.2169/internalmedicine.4859-24. Epub 2025 Feb 1.

DOI:10.2169/internalmedicine.4859-24
PMID:39894492
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12393974/
Abstract

The patient was a 36-year-old woman in the 34th week of pregnancy who presented with headache. Magnetic resonance imaging (MRI) revealed bilateral internal carotid artery (ICA) stenosis and inflammatory changes in the sphenoid sinus. No cerebral infarction was detected on diffusion-weighted magnetic MRI. She was diagnosed with ICA stenosis induced by sphenoid sinusitis and underwent surgical treatment with intravenous antibiotics and corticosteroids. Her headache improved, and MRI showed remarkable improvement in bilateral ICA stenosis and no cerebral infarction. Severe sinusitis can also cause ICA stenoses. An early diagnosis and appropriate treatment of causative sinusitis can improve ICA stenosis and prevent stroke.

摘要

该患者为一名36岁处于孕34周的女性，因头痛前来就诊。磁共振成像（MRI）显示双侧颈内动脉（ICA）狭窄以及蝶窦的炎症改变。弥散加权磁共振成像未检测到脑梗死。她被诊断为蝶窦炎诱发的ICA狭窄，并接受了静脉使用抗生素和皮质类固醇的手术治疗。她的头痛症状有所改善，MRI显示双侧ICA狭窄显著改善且未出现脑梗死。严重的鼻窦炎也可导致ICA狭窄。对病因性鼻窦炎进行早期诊断和恰当治疗可改善ICA狭窄并预防中风。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c4/12393974/04594001d35a/1349-7235-64-15-2406-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c4/12393974/4018a815016e/1349-7235-64-15-2406-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c4/12393974/01aefd715d82/1349-7235-64-15-2406-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c4/12393974/04594001d35a/1349-7235-64-15-2406-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c4/12393974/4018a815016e/1349-7235-64-15-2406-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c4/12393974/01aefd715d82/1349-7235-64-15-2406-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c4/12393974/04594001d35a/1349-7235-64-15-2406-g003.jpg

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本文引用的文献

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NMC Case Rep J. 2023 Jul 13;10:215-220. doi: 10.2176/jns-nmc.2022-0387. eCollection 2023.
2
Rupture of the internal carotid artery pseudoaneurysm resulting from fungal sinusitis.真菌性鼻窦炎导致颈内动脉假性动脉瘤破裂。
Auris Nasus Larynx. 2023 Oct;50(5):811-815. doi: 10.1016/j.anl.2022.12.015. Epub 2023 Jan 6.
3
The role of adjuvant systemic steroids in the management of periorbital cellulitis secondary to sinusitis: a systematic review and meta-analysis.
辅助全身类固醇在治疗鼻窦炎引起的眶周蜂窝织炎中的作用：系统评价和荟萃分析。
Eur Arch Otorhinolaryngol. 2021 Jul;278(7):2193-2201. doi: 10.1007/s00405-020-06294-z. Epub 2020 Aug 24.
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Associations Between Maternal Antenatal Corticosteroid Treatment and Mental and Behavioral Disorders in Children.母亲产前皮质类固醇治疗与儿童精神和行为障碍的关联。
JAMA. 2020 May 19;323(19):1924-1933. doi: 10.1001/jama.2020.3937.
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Cavernous Sinus Thrombosis due to Chronic Bacterial Sinusitis.慢性细菌性鼻窦炎所致海绵窦血栓形成
Cureus. 2019 May 21;11(5):e4712. doi: 10.7759/cureus.4712.
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