舌骨压迫相关颈动脉闭塞致急性缺血性卒中一例  

Acute ischemic stroke caused by occlusion of the cervical artery due to compression of the hyoid bone:a case report

作　　者：王志飞 韩鹰鹏 李珊珊[1] 周肖东 王璐 高强 Wang Zhifei;Han Yingpeng;Li Shanshan;Zhou Xiaodong;Wang Lu;Gao Qiang(Department of Neurology,Jilin People′s Hospital,Jilin 132000,China;不详)

机构地区：[1]吉林市人民医院神经内科,132000 [2]吉林市人民医院耳鼻喉头颈外科,132000 [3]吉林市人民医院神经外科,132000

出　　处：《中国脑血管病杂志》2025年第1期34-37,共4页Chinese Journal of Cerebrovascular Diseases

基　　金：吉林省卫生健康科技能力提升项目(2022LC144)。

摘　　要：急性缺血性卒中较少由舌骨压迫相关颈动脉闭塞导致。笔者报道1例舌骨压迫相关颈动脉闭塞导致的急性缺血性卒中患者,发病表现为语言障碍及偏瘫,既往无动脉粥样硬化,有运动史,头颈部CT血管成像示责任血管以外未见动脉粥样硬化改变,结合其舌骨与颈动脉之间的关系,考虑发病机制为同侧舌骨大角反复机械压迫致颈动脉内皮损伤后闭塞,导致缺血性卒中,这在缺血性卒中患者中较为罕见。该文拟结合文献复习对这一特殊病例的临床和影像学表现、发病机制、诊断及治疗进行探讨。Acute ischemic stroke is less likely to be caused by carotid artery occlusion related to compression from the hyoid bone.This case report described a patient with acute ischemic stroke due to hyoid bone compression-induced carotid artery occlusion who presented with speech disorder and hemiplegia,without atherosclerotic factors in the past and with exercise history.Head CT angiography showed no atherosclerosis changes in regions outside the offending vessel.Considering the anatomical relationship between hyoid bone and carotid artery,the most reasonable mechanism might be owed to repetitive mechanical compression from ipsilateral greater horn of hyoid bone.It induced endothelial damage to the carotid artery,leading to occlusion and ischemic stroke consequently.It is extremely rare in patients with ischemic stroke.Accordingly,based on the literature review,this study was conducted to explore clinical and imaging manifestations,pathogenesis,diagnosis,and treatment of this special clinical manifestation.

关 键 词：舌骨 颈动脉狭窄 缺血性卒中 颈动脉闭塞 

分 类 号：R743.3[医药卫生—神经病学与精神病学]