Nikiforov B M, Rudenko I Ia
Zh Nevropatol Psikhiatr Im S S Korsakova. 1981;81(7):977-80.
The character and frequency of internal carotid artery deformities on the neck were examined on 1009 arteriograms taken from patients suffering from various cerebral pathologies. Prevalence of convolution and looping of the artery was noted in patients with hypertensive hemorrhages (37%), hemorrhages due to intracranial sacculated aneurysms (35%), and, to a lesser extent, in patients with spontaneous subarachnoidal hemorrhages (19%), intracranial tumours (25%) and traumatic subdural hematomas (22%). This was, probably, due to age-related peculiarities of the vessel structure. It is supposed that the above deformities of the internal carotid artery are an extreme type of the structure that may be either congenital, or acquired. Since such deformities are rather frequent (25 to 30%) they should be regarded not as manifestations of a pathology, but rather as peculiarities of the vessel structure associated with age.
对1009例患有各种脑部疾病的患者的动脉造影片进行了检查,以观察颈部颈内动脉畸形的特征和发生率。在高血压性脑出血患者(37%)、颅内囊状动脉瘤所致出血患者(35%)中,以及在较小程度上,在自发性蛛网膜下腔出血患者(19%)、颅内肿瘤患者(25%)和创伤性硬膜下血肿患者(22%)中,均发现了动脉的迂曲和袢曲现象。这可能是由于血管结构的年龄相关特性所致。据推测,上述颈内动脉畸形是一种结构的极端类型,可能是先天性的,也可能是后天获得的。由于这种畸形相当常见(25%至30%),它们不应被视为病理表现,而应被视为与年龄相关的血管结构特性。