单纯球囊扩张成形治疗慢性颈内动脉颅内段局限性闭塞一例  

Primary balloon angioplasty for the local chronic occlusion of intracranial segment of internal carotid artery:a case report

作　　者：赵清石 朱双根 张国高 李归宿 李常玉 林富 Zhao Qingshi;Zhu Shuanggen;Zhang Guogao;Li Guisu;Li Changyu;Lin Fu(Department of Neurology,Longhua District People′s Hospital of Shenzhen,Shenzhen 518109,China)

机构地区：[1]深圳市龙华区人民医院神经内科,518109 [2]北京大学深圳医院神经内科

出　　处：《中国脑血管病杂志》2020年第7期408-411,共4页Chinese Journal of Cerebrovascular Diseases

摘　　要：颈内动脉闭塞是引起缺血性卒中的主要原因之一,存在血流动力学障碍,发生卒中的风险可能更高。患者可以表现为无症状、短暂性脑缺血发作、肢体抖动、认知障碍及急性卒中等,容易漏诊及误诊。早期发现、早期干预可获得良好预后和生活质量。严格、详尽的病史采集、影像学评估为介入开通血管创造良好的条件,也是介入开通后患者良好预后的基础。作者回顾性报道1例症状性慢性颈内动脉颅内段局限性闭塞患者行单纯球囊扩张血管成形术治疗的过程及预后,并结合相关文献,分析探讨了慢性颈内动脉闭塞导致血管事件的可能原因及介入治疗的利与弊。Internal carotid artery occlusion is one of the main causes of ischemic stroke.The risks of stroke may be higher if there is a hemodynamic disorder.Patients could appear asymptomatic,transient ischemic attack onset,limb tremor,cognitive impairment,and acute stroke,which is easily missed and misdiagnosed.Early detection and intervention could lead to good prognosis and quality of life.Rigorous and detailed data collection of medical history and imaging assessment create good conditions for interventional patency of the blood vessels,and are the basis of a good prognosis for patients after recanalization.The author retrospectively reported a case with symptomatic chronic occlusion of the ophthalmic artery of internal carotid artery who underwent interventional angioplasty and follow-up.Based on the relevant literature,the author analyzed the possible causes of cerebrovascular events caused by chronic carotid artery occlusion and the advantages and disadvantages of interventional treatment.

关 键 词：慢性颈内动脉闭塞 血管成形术 高分辨率磁共振成像 CT血管成像 CT灌注成像 

分 类 号：R743.3[医药卫生—神经病学与精神病学]