Sconocchini C, Chiaramoni L, Salvolini U
Divisione di Neurologia, Ospedali Riuniti di Jesi.
Ital J Neurol Sci. 1994 Jun;15(5):253-8. doi: 10.1007/BF02342457.
The present paper reports the case of a young woman who experienced an ischemic stroke due to the spontaneous dissection and occlusion of both internal carotid arteries, with recanalisation one year after the event. It is underlined that this form is not clinically different from the unilateral form, and that it is often associated with a favourable prognosis. In addition to the characteristic angiographic findings, the paper also highlights the importance of the combined use of MR, MR angiography and echo-Doppler imaging during diagnosis and follow up.
本文报道了一名年轻女性的病例,该患者因双侧颈内动脉自发性夹层形成和闭塞而发生缺血性中风,事件发生一年后血管再通。需要强调的是,这种形式在临床上与单侧形式并无差异,且通常预后良好。除了典型的血管造影表现外,本文还强调了在诊断和随访过程中联合使用磁共振成像(MR)、磁共振血管造影(MRA)和超声多普勒成像的重要性。