复发性右侧偏瘫伴同侧颈动脉进行性狭窄。
Recurrent right hemiplegia associated with progressive ipsilateral carotid artery stenosis.
作者信息
Chollet F, Rolland Y, Albucher J F, Manelfe C, Marc-Vergnes J P, Guiraud-Chaumeil B
机构信息
Department of Neurology, INSERM U 230, Hôpital Purpan, Toulouse, France.
出版信息
Stroke. 1996 Apr;27(4):753-5. doi: 10.1161/01.str.27.4.753.
BACKGROUND
Ipsilateral sensory motor symptoms associated with carotid artery stenosis are rare, and few reports are available in the literature.
CASE DESCRIPTION
We report the case of a 50-year-old man who presented with right hemiplegia that recurred 14 months later. A left hemisphere watershed infarction was detected. Repeated angiograms showed a left internal carotid occlusion and a right internal carotid stenosis that initially measured 50% and worsened to 80% after the second stroke.
CONCLUSIONS
Repeated quantitative measurements of cerebrovascular reserve demonstrated the hemodynamic mechanism of the strokes and the role of a right internal carotid lesion in causing the recurrence of right hemiplegia.
背景
与颈动脉狭窄相关的同侧感觉运动症状较为罕见，文献中报道较少。
病例描述
我们报告一例50岁男性病例，该患者出现右侧偏瘫，14个月后复发。检测发现左侧半球分水岭梗死。重复血管造影显示左侧颈内动脉闭塞，右侧颈内动脉狭窄，最初狭窄程度为50%，第二次中风后加重至80%。
结论
对脑血管储备进行重复定量测量证明了中风的血流动力学机制以及右侧颈内动脉病变在导致右侧偏瘫复发中的作用。
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