茎突综合征相关颈内动脉夹层致缺血性卒中1例报道  

Ischemic Stroke Caused by Internal Carotid Artery Dissection Associated with Styloid Process Syndrome:A Case Report

作　　者：王丽佳 时代[3] 刘慧慧[1] 曹勇军[1] 刘春风[1] 石际俊[1] WANG Lijia;SHI Dai;LIU Huihui;CAO Yongjun;LIU Chunfeng;SHI Jijun(Department of Neurology,The Second Affiliated Hospital of Soochow University,Suzhou 215004,China;Department of Neurology,Changshu No.1 People’s Hospital,Changshu 215500,China;Department of Radiology,The Second Affiliated Hospital of Soochow University,Suzhou 215004,China)

机构地区：[1]苏州大学附属第二医院神经内科,苏州215004 [2]常熟市第一人民医院神经内科 [3]苏州大学附属第二医院影像科

出　　处：《中国卒中杂志》2023年第9期1049-1053,共5页Chinese Journal of Stroke

摘　　要：茎突过长是导致颈动脉夹层的主要解剖学异常,本文报道1例茎突过长相关颈动脉夹层导致缺血性卒中患者的诊治过程。该患者有长期的频繁低头和抬头工作史,CTA三维重建证实存在双侧茎突过长,长期机械性损伤导致左侧颈内动脉夹层,是本次缺血性卒中发生的根本原因,经左侧颈内动脉支架置入术后动脉夹层修复良好。茎突综合征相关的缺血性卒中应该引起临床医师足够的重视,以降低卒中再发风险。Elongated styloid process is the main anatomical abnormality leading to carotid dissection,and the patient with ischemic stroke caused by carotid dissection associated with elongated styloid process was reported here.The patient had a long-standing history of frequent head down and head lift work and CTA with three-dimensional reconstruction showed bilateral elongated styloid processes.Left internal carotid artery dissection due to long-term mechanical injury was the underlying cause of this ischemic stroke,and arterial dissection was repaired well after stenting in the left internal carotid artery.Adequate attention should be paid to ischemic stroke associated with styloid process syndrome to reduce the risk of recurrent stroke.

关 键 词：缺血性卒中 颈内动脉夹层 茎突综合征 茎突过长 

分 类 号：R743.3[医药卫生—神经病学与精神病学]