椎动脉夹层引起的脊髓梗死1例报告并文献复习  

Spinal cord infarction caused by vertebral artery dissection:A case report and literature review

作　　者：沈晶赞 程云 成雅妮 金海峰 蔡坚 姚小英 SHEN Jingzan;CHENG Yun;CHENG Yani(Department of Neurology,Ningbo Hangzhou Bay Hospital,Ningbo 315336,China)

机构地区：[1]宁波市杭州湾医院神经内科,浙江宁波315336 [2]上海交通大学附属仁济医院神经内科,上海200127

出　　处：《中风与神经疾病杂志》2025年第1期60-64,共5页Journal of Apoplexy and Nervous Diseases

摘　　要：脊髓梗死是少见的,由椎动脉夹层引起的脊髓梗死更是罕见。本文报道1例由右侧椎动脉夹层导致的双侧颈段脊髓梗死,累及脊髓前、后动脉供血范围,经静脉溶栓、双联抗血小板等治疗后恢复良好的病例。本病例可能是首例采用静脉溶栓治疗的由椎动脉夹层导致的脊髓梗死病例,提示静脉溶栓对于该类疾病可能是安全且有效的。椎动脉夹层有时需结合MRI、血管内超声成像、CTA、MRA、DSA等多种手段来诊断。Spinal cord infarction is rare,and vertebral artery dissection is even more seldom as a cause.This article reports a case of bilateral cervical spinal cord infarction due to right vertebral artery dissection and involvement of the ante-rior and posterior spinal artery supply areas,achieving a good recovery after intravenous thrombolysis,dual antiplatelet therapy,and other treatments.This may be the first reported case of spinal cord infarction caused by vertebral artery dis-section treated with intravenous thrombolysis,suggesting that intravenous thrombolysis may be safe and effective for this rare condition.Vertebral artery dissection sometimes requires a combination of magnetic resonance imaging,vascular ul-trasonography,computed tomography angiography,magnetic resonance angiography,and digital subtraction angiography for an accurate diagnosis.

关 键 词：脊髓梗死 椎动脉夹层 溶栓 

分 类 号：R744.1[医药卫生—神经病学与精神病学]