基于血管超声的多模式影像学评估双侧椎动脉夹层致后循环缺血性卒中患者一例  

Multi-mode images to assess posterior circulation ischemic stroke caused by bilateral vertebral artery dissection based on vascular ultrasound: a case report

作　　者：颜燕红[1] 惠品晶[1] 刘曼[1] 孔丽娟[1] 胡春洪[2] Yan Yanhong;Hui Pinjing;Liu Man;Kong Lijuan;Hu Chunhong(Department of Neurosurgery-Carotid and Cerebralvascular Ultrasonography,the First Affiliated Hospital of Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学附属第一医院神经外科-颈脑血管超声科,215006 [2]苏州大学附属第一医院放射科,215006

出　　处：《中国脑血管病杂志》2020年第6期327-329,332,共4页Chinese Journal of Cerebrovascular Diseases

基　　金：国家重点研发计划(2017YFC0114302);苏州市科学技术局科技计划(SS201714)。

摘　　要：双侧椎动脉夹层(VAD)致后循环缺血性卒中其病因不易被发现。报道1例曾有颈部过度后仰史的后循环缺血性卒中患者,经颈部动脉超声检查发现双侧VAD,并经头部MRI、高分辨率MRI确诊,给予规范性双抗血小板聚集药物治疗6个月后,双侧椎动脉血流再通,提示VAD早期诊断、规范化内科治疗能显著改善患者预后。The etiology of posterior circulation ischemic stroke caused by bilateral vertebral artery dissection(VAD)is often difficult to detect.In this study,the authors report a case of posterior circulation ischemic stroke with a history of excessive back elevation of the neck.The dissection of bilateral vertebral arteries was detected by carotid Doppler ultrasonography and further confirmed by magnetic resonance imaging and high-resolution magnetic resonance imaging.After 6 months of standard administration of dual antiplatelet therapy,recanalization of the bilateral vertebral artery was achieved.It proves that the early diagnosis and standardized medical treatment of VAD can significantly improve patients′prognosis.

关 键 词：颈部动脉超声 高分辨率磁共振成像 椎动脉夹层 

分 类 号：R743.3[医药卫生—神经病学与精神病学]