Katakura R, Yoshimoto T, Wada T
No Shinkei Geka. 1980 Jan;8(1):89-91.
This paper reports a rare case in which a development and improvement of post-traumatic stenosis of the internal cartoid artery was documented by angiographical studies. A 31-year-old male suffered from disturbance of consciousness with left hemiparesis following head trauma. On admission, plain craniograms showed fracture of the bilateral vertex and a fracture crossed the right carotid canal. Right carotid angiogram revealed that the internal carotid artery was visualized "striped" and its wall was irregular narrowing. Angiogram taken nine days after the trauma showed an improvement of the stenosis. Consciousness disturbance and neurological signs had gradually improved by the end of the fourth post traumatic month. In the follow-up angiographical study, six months after the injury, the stenosis of internal carotid artery was found greatly improved.
本文报道了一例罕见病例，通过血管造影研究记录了创伤后颈内动脉狭窄的发展及改善情况。一名31岁男性在头部外伤后出现意识障碍及左侧偏瘫。入院时，普通颅骨X线片显示双侧顶骨骨折，一条骨折线穿过右侧颈动脉管。右侧颈动脉血管造影显示颈内动脉呈“条纹状”显影，其管壁不规则狭窄。外伤后九天的血管造影显示狭窄有所改善。创伤后第四个月末，意识障碍和神经体征逐渐改善。在伤后六个月的随访血管造影研究中，发现颈内动脉狭窄有显著改善。
