Fukuda H, Kitani M
Department of Neurology, Masuda Red Cross Hospital.
Rinsho Shinkeigaku. 1994 Nov;34(11):1171-4.
Upper cervical cord infarction in the territory of the posterior spinal artery is very rare. We present here an elderly man who developed right upper cervical (C1-2) posterior spinal artery syndrome associated with vertebral artery occlusion. A 62-year-old man suffered a right upper cervical (C1-2) posterior spinal artery syndrome. The onset was associated with neck flexion. Magnetic resonance imaging clearly showed an ischemic lesion. Cerebral angiography revealed occlusion of the distal end of an ipsilateral vertebral artery. The occlusion of the vertebral artery probably caused the cervical cord infarction. The neck flexion possibly induced thrombogenesis in the vertebral artery. Unilateral upper cervical posterior spinal artery syndrome associated with vertebral occlusion following neck flexion was suggested.
脊髓后动脉供血区域的上颈段脊髓梗死非常罕见。我们在此报告一名老年男性，他发生了与椎动脉闭塞相关的右上颈段（C1 - 2）脊髓后动脉综合征。一名62岁男性患有右上颈段（C1 - 2）脊髓后动脉综合征。发病与颈部屈曲有关。磁共振成像清晰显示有缺血性病变。脑血管造影显示同侧椎动脉远端闭塞。椎动脉闭塞可能导致了颈段脊髓梗死。颈部屈曲可能诱发了椎动脉内血栓形成。提示存在颈部屈曲后与椎动脉闭塞相关的单侧上颈段脊髓后动脉综合征。
