颈动脉外膜下夹层分离中的霍纳综合征及磁共振血管造影的作用

Horner's syndrome in subadventitial carotid artery dissection and the role of magnetic resonance angiography.

作者信息

Brown J, Danielson R, Donahue S P, Thompson H S

机构信息

Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City 52240, USA.

出版信息

Am J Ophthalmol. 1995 Jun;119(6):811-3. doi: 10.1016/s0002-9394(14)72797-7.

DOI:10.1016/s0002-9394(14)72797-7

PMID:7785706

Abstract

PURPOSE/METHODS: A 47-year-old man with a postganglionic Horner's syndrome and severe right facial pain was found to have a normal carotid angiogram. We obtained a magnetic resonance angiogram of the neck because of our continued clinical suspicion of dissection.

RESULT/CONCLUSION: An area of hyperintensity was identified along the lumen of the right internal carotid artery, suggesting a subadventitial dissection. Magnetic resonance angiography is a noninvasive, sensitive technique for identifying some carotid dissections.

摘要

目的/方法：一名47岁患有节后霍纳综合征及严重右侧面部疼痛的男性，其颈动脉血管造影显示正常。由于临床持续怀疑有夹层形成，我们对其颈部进行了磁共振血管造影检查。

结果/结论：在右侧颈内动脉管腔内发现一个高强度区域，提示存在外膜下夹层。磁共振血管造影是一种用于识别某些颈动脉夹层的非侵入性、敏感技术。