以霍纳综合征为主要表现的颈动脉夹层一例  

Carotid artery dissection with Horner syndrome as main manifestation:a case report

作　　者：方兴[1] 徐子奇[1] 罗本燕[1] 袁怀武[1] 朱雄超[1] 袁圆[1] 

机构地区：[1]浙江大学医学院附属第一医院神经内科

出　　处：《浙江大学学报（医学版）》2015年第2期229-232,共4页Journal of Zhejiang University(Medical Sciences)

摘　　要：一例44岁患者因“左侧眼睑下垂伴左侧头部及颈部疼痛20天”入院，颅脑核磁共振成像示左侧顶叶亚急性脑梗死，左侧颈内动脉壁间血肿，颈部血管计算机断层扫描血管造影示左侧颈内动脉C1段颈段线状狭窄，全脑血管造影术示左侧颈内动脉C1段夹层。经抗凝等治疗后病情好转。A 44-year old male patient was admitted to the First Affiliated Hospital , Zhejiang University School of Medicine with left ptosis and pain on the left head and neck for 20 days.Brain MRI showed subacute cerebral infarction on left parietal lobe and intramural hematoma on left internal carotid artery .CT angiography showed stenosis line on the C1 segment of left internal carotid artery .Digital subtraction angiography showed dissection on the C 1 segment of left internal carotid artery .The condition of patients was improved after anticoagulant therapy .

关 键 词：霍纳综合征/诊断 脑梗死/并发症 颈动脉疾病/药物疗法 肝素低分子量/治疗应用 磁共振成像 脑血管造影术 病例报告 

分 类 号：R743.3[医药卫生—神经病学与精神病学]