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因颈总动脉隔膜导致的间歇性头晕经支架置入成功治疗。

Intermittent dizziness due to a diaphragm of the common carotid artery successfully treated by stenting.

作者信息

Tian Zhizhengrong, Zhao Fengyun, Mou Hongmei, Zhang Huabin

机构信息

Ultrasound Department, Cangzhou Central Hospital, Cangzhou, 061000, China.

Ultrasound Department, Cangzhou Maternal and Child Health Care Hospital, Cangzhou, 061000, China.

出版信息

Radiol Case Rep. 2025 Jun 12;20(9):4316-4320. doi: 10.1016/j.radcr.2025.05.049. eCollection 2025 Sep.

DOI:10.1016/j.radcr.2025.05.049
PMID:40575372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12197905/
Abstract

Carotid diaphragm is considered a form of fibromuscular dysplasia (FMD) that may result in the narrowing of blood vessels, potentially increasing the risk of stroke. More than 50 cases of carotid diaphragm have been reported, most cases of which are located in the internal carotid artery. Patients are usually middle-aged and initially manifest as syncope, tinnitus, and ischemic stroke. In this paper, we report a rare case of septal aneurysm in the common carotid artery (CCA). This is the fourth case reported in the literature.

摘要

颈动脉隔膜被认为是纤维肌发育不良(FMD)的一种形式,可能导致血管狭窄,从而增加中风风险。已报告50多例颈动脉隔膜病例,其中大多数病例位于颈内动脉。患者通常为中年,最初表现为晕厥、耳鸣和缺血性中风。在本文中,我们报告了一例罕见的颈总动脉(CCA)间隔动脉瘤病例。这是文献中报道的第四例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/2aebe7886cc2/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/a6bd0b0cf7ab/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/4cc571dfa7b9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/50360492f475/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/25eb21af4809/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/0f14a40f971b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/cd5689f9300f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/3d7eeef58639/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/3894ef9f1fec/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/2aebe7886cc2/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/a6bd0b0cf7ab/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/4cc571dfa7b9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/50360492f475/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/25eb21af4809/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/0f14a40f971b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/cd5689f9300f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/3d7eeef58639/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/3894ef9f1fec/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8dc/12197905/2aebe7886cc2/gr9.jpg

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本文引用的文献

1
Carotid webs: a review of pathophysiology, diagnostic findings, and treatment options.颈动脉窦:病理生理学、诊断结果及治疗选择的综述。
J Neurointerv Surg. 2024 Nov 22;16(12):1294-1298. doi: 10.1136/jnis-2023-021243.
2
Ipsilateral internal carotid artery web and acute ischemic stroke: A cohort study, systematic review and meta-analysis.同侧颈内动脉血管壁薄弱与急性缺血性脑卒中:队列研究、系统综述及荟萃分析。
PLoS One. 2021 Sep 17;16(9):e0257697. doi: 10.1371/journal.pone.0257697. eCollection 2021.
3
Common Carotid Artery Diaphragm presenting as transient syncope.
表现为短暂性晕厥的颈总动脉隔膜
Radiol Case Rep. 2021 Jun 8;16(8):2050. doi: 10.1016/j.radcr.2021.04.076. eCollection 2021 Aug.
4
Stroke Recurrence in First-Ever Symptomatic Carotid Web: A Cohort Study.首次有症状的颈动脉网患者的卒中复发:一项队列研究。
J Stroke. 2021 May;23(2):253-262. doi: 10.5853/jos.2020.05225. Epub 2021 May 31.
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Current Understanding and Gaps in Research of Carotid Webs in Ischemic Strokes: A Review.颈动脉梳在缺血性脑卒中中的研究现状及空白:综述
JAMA Neurol. 2019 Mar 1;76(3):355-361. doi: 10.1001/jamaneurol.2018.3366.
6
B-Flow and B-Mode Ultrasound Imaging in Carotid Fibromuscular Dysplasia.颈动脉纤维肌性发育不良的 B 型血流和 B 型超声成像。
J Neuroimaging. 2018 May;28(3):269-272. doi: 10.1111/jon.12498. Epub 2018 Jan 23.
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A rare diaphragm in the common carotid artery: A first case report and literature review.一例罕见的颈总动脉隔膜:首例病例报告及文献综述
Medicine (Baltimore). 2017 Jul;96(28):e7331. doi: 10.1097/MD.0000000000007331.
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Atypical Common Carotid Artery Diaphragm With an Accompanying Aneurysm.伴有动脉瘤的非典型颈总动脉隔膜
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Epidemiology of fibromuscular dysplasia: A review of the literature.纤维肌性发育异常的流行病学:文献综述
Vasc Med. 2016 Aug;21(4):376-81. doi: 10.1177/1358863X16637913. Epub 2016 Apr 11.
10
Carotid-bulb atypical fibromuscular dysplasia in young Afro-Caribbean patients with stroke.年轻的非裔加勒比中风患者的颈动脉球非典型性纤维肌发育不良。
Stroke. 2014 Dec;45(12):3711-3. doi: 10.1161/STROKEAHA.114.007313. Epub 2014 Oct 30.