旋转性椎动脉闭塞综合征并颅内段椎动脉夹层致双侧小脑梗死一例  

Bilateral cerebellar infarction caused by rotational vertebral artery occlusion syndrome and intracranial vertebral artery dissection:a case report

作　　者：李向南 郭蓉[1] 陈新[2] 芦云 陈晓虹[2,3] Li Xiangnan;Guo Rong;Chen Xin;Lu Yun;Chen Xiaohong(Department of Neurological Function,the People′s Hospital of China Medical University,Shenyang 110016,China;Department of Neurology,the People′s Hospital of China Medical University,Shenyang 110016,China)

机构地区：[1]中国医科大学人民医院神经功能科,沈阳110016 [2]中国医科大学人民医院神经内科,沈阳110016 [3]辽宁省金秋医院工作,沈阳110016

出　　处：《中华神经科杂志》2020年第9期706-710,共5页Chinese Journal of Neurology

基　　金：沈阳市脑卒中疾病临床医学研究中心资助项目(1900552)。

摘　　要：旋转性椎动脉闭塞综合征又称猎人弓综合征(BHS),是后循环缺血的罕见病因,数字减影血管造影(DSA)仍是目前诊断的“金标准”。我们报道1例表现为双侧小脑梗死,经颈部血管彩色多普勒超声检查发现患者头颈部旋转后出现椎动脉特殊血流动力学变化,最终经DSA确诊的BHS并颅内椎动脉夹层的病例。结合文献,我们对BHS的临床特征包括影像学表现进行了讨论,旨在提高对该罕见综合征的认识。Rotational vertebral artery occlusion syndrome,also known as bow hunter′s syndrome(BHS),is a rare cause of posterior circulation ischemia.Digital subtraction angiography(DSA)is still the gold standard for diagnosis.A case of bilateral cerebellar infarction,with color Doppler ultrasound showing special vertebral artery hemodynamic changes after head and neck rotation,was diagnosed by DSA as BHS and intracranial vertebral artery dissection.Based on the literature published previously,the clinical manifestations and imaging features of BHS were discussed to improve clinicians′awareness of the syndrome.

关 键 词：猎人弓综合征 旋转性椎动脉闭塞综合征 后循环梗死 

分 类 号：R743.33[医药卫生—神经病学与精神病学]