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[一例单侧颈内动脉闭塞合并颈椎病患者的颈段脊髓梗死]

[Cervical spinal cord infarction in a patient with unilateral internal carotid artery occlusion and cervical spondylosis].

作者信息

Kimura M, Ito K, Onizuka J, Hirayama M, Kuriyama M

机构信息

2nd Department of Internal medicine, Fukui Medical University.

出版信息

Rinsho Shinkeigaku. 1997 Oct;37(10):927-9.

PMID:9490906
Abstract

We report a 68-year-old male patient with right hemiparesis caused by cervical spinal cord infarction. Cerebral angiography revealed right internal carotid artery occlusion. The blood flow of right middle cerebral artery was fed by the basilar artery via right posterior communicating artery. In this case, the upper cervical spinal cord infarction might be induced by steal phenomenon of anterior spinal artery to the middle cerebral artery via posterior communicating artery in addition to the local ischemia by cervical spondylosis.

摘要

我们报告一例68岁男性患者,因颈段脊髓梗死导致右侧偏瘫。脑血管造影显示右侧颈内动脉闭塞。右侧大脑中动脉的血流由基底动脉通过右侧后交通动脉供血。在该病例中,除了颈椎病导致的局部缺血外,上颈段脊髓梗死可能是由于脊髓前动脉通过后交通动脉向大脑中动脉的盗血现象所致。

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