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异常颈内动脉导致的吞咽困难：一例报告

Dysphagia from an aberrant internal carotid artery: a case report.

作者信息

Larsen Marie Bjerg, O'Leary Pádraig

机构信息

Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Aarhus University Hospital, 8200, Aarhus, Denmark.

出版信息

Eur Arch Otorhinolaryngol. 2025 Aug;282(8):4353-4358. doi: 10.1007/s00405-025-09417-6. Epub 2025 May 7.

DOI:10.1007/s00405-025-09417-6
PMID:40329041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12399713/
Abstract

PURPOSE

We present a case of dysphagia caused by an aberrant internal carotid artery (ICA). By reporting this rare occurrence, we hope to highlight the anomaly as a differential in cases of persistent, progressive dysphagia.

RESULTS

Even though the symptomatic mass effect of the ICA warranted the option of surgical intervention, due to a patient-centered approach with an emphasis on personal preference, the patient was instead referred for specialized ergotherapy.

CONCLUSION

This case characterizes a rare yet significant cause of dysphagia, in addition, it illustrates the necessity of a multidisciplinary approach when dealing with complex cases of dysphagia.

摘要

目的

我们报告一例由异常颈内动脉（ICA）引起的吞咽困难病例。通过报告这一罕见病例，我们希望强调该异常情况可作为持续性、进行性吞咽困难病例的鉴别诊断之一。

结果

尽管ICA的症状性肿块效应使得手术干预成为一种选择，但由于以患者为中心的方法并强调个人偏好，该患者反而被转介接受专业的职业治疗。

结论

该病例表明了一种罕见但重要的吞咽困难病因，此外，它还说明了在处理复杂的吞咽困难病例时采用多学科方法的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/12399713/a6f0f49c1007/405_2025_9417_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/12399713/2d55355dc08e/405_2025_9417_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/12399713/4e39df9a71a8/405_2025_9417_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/12399713/4ef5e55028ac/405_2025_9417_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/12399713/a6f0f49c1007/405_2025_9417_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/12399713/2d55355dc08e/405_2025_9417_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/12399713/4e39df9a71a8/405_2025_9417_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/12399713/4ef5e55028ac/405_2025_9417_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/12399713/a6f0f49c1007/405_2025_9417_Fig4_HTML.jpg

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本文引用的文献

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Having a carotid in the throat: A rare case of internal carotid medialization-induced dysphonia.咽喉部出现颈动脉：一例罕见的因颈内动脉内移导致的发音障碍病例。
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Anatomically Coiled Internal Carotid Artery Resulting in Severe Dysphagia and Burning Mouth Syndrome.解剖学卷曲的颈内动脉导致严重吞咽困难和灼口综合征。
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Curving and looping of the internal carotid artery in relation to the pharynx: frequency, embryology and clinical implications.颈内动脉相对于咽部的弯曲和环行：发生率、胚胎学及临床意义
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