牙源性颈深部间隙感染继发颈内动脉颅外段感染性假性动脉瘤一例  

A case of infectious pseudoaneurysm of the extracranial internal carotid artery secondary to odontogenic deep neck infections

作　　者：靳玮[1] 赵仕聪 白雪 范鸣玥[1] 贾秀川[3] 石源源 Jin Wei;Zhao Shicong;Bai Xue;Fan Mingyue;Jia Xiuchuan;Shi Yuanyuan(Department of Neurology,Hebei General Hospital,Shijiazhuang,Hebei 050051,China;不详)

机构地区：[1]河北省人民医院神经内科河北省脑网络与认知障碍疾病重点实验室,石家庄050051 [2]石家庄市人民医院神经内科 [3]河北省人民医院医学影像科

出　　处：《中国脑血管病杂志》2023年第9期620-624,共5页Chinese Journal of Cerebrovascular Diseases

摘　　要：颈内动脉颅外段感染性假性动脉瘤形成是颈深部间隙感染的一个罕见而致命的并发症,其早期识别和干预对于患者预后至关重要。本文报道1例脑梗死后由牙源性颈深部间隙感染继发颈内动脉颅外段感染性假性动脉瘤形成并最终破裂的病例。作者结合文献回顾,探讨牙源性颈深部间隙感染继发颈内动脉颅外段感染性假性动脉瘤的风险因素和治疗策略,以提高临床医师对该病的警惕并进行及早干预。Infectious pseudoaneurysms formation of the extracranial internal carotid artery(EICA) is a rare but lethal complication of deep neck infections and its early recognition and intervention are crucial for patient prognosis.We present herein a rare case of infectious pseudoaneurysm of the EICA due to odontogenic deep neck infections(ODNI) after cerebral infarction.The pseudoaneurysm eventually ruptured.In the context of a literature review,the predisposing factors and the treatment of ODNI complicating EICA pseudoaneurysm were explored,so as to improve clinicians′ vigilance against the disease and perform early intervention.

关 键 词：动脉瘤 假性 颈内动脉颅外段 颈深部间隙感染 牙源性感染 感染性假性动脉瘤 肺炎克雷伯杆菌 

分 类 号：R743[医药卫生—神经病学与精神病学]