摘要
目的 研究颈内动脉发育异常的影像学及临床特点.方法 纳入6例经影像学确诊的颈内动脉发育异常患者,分析相应的影像学及临床资料.结果 6例患者均为女性,平均年龄（46±13）岁.以蛛网膜下腔出血起病1例,无症状1例,脑梗死起病1例,头晕起病2例,头痛起病l例.单侧颈动脉发育异常2例,双侧颈内动脉发育异常4例,合并椎动脉发育异常2例.4例合并颅内动脉瘤,1例合并硬脑膜动静脉瘘.2例行血管内介入治疗,1例行颅内、外搭桥手术,2例采用控制脑血管病高危因素治疗.治疗后随访2～24个月,无不良事件发生.结论 颈内动脉发育异常需要结合颈内动脉管腔形态加以诊断,可合并多种颅内血管病变,分析其影像学特点有利于指导临床治疗.
Objeetive To analyze the the radiographic and clinical features of the internal carotid artery （ICA） anomalies.Methods The clinical and radiographic characteristics were retrospectively analyzed in cases of ICA anomalies screened from our intervention database in changhai hospital from september 2009 to september 2014.Results Totally,6 female patients were included with average age of （45 ± 13） years old.The clinical manifestations included subarachnoid hemorrhage in 1 cases,asymptomatic complaint in 1,cerebral infarction in 1,dizziness in 2 and headache in,Unilateral dysgenesis was observed in 2 cases and bilateral in four with 2 cases of dysgenesis of vertebral artery.Intracranial aneurysm was observed in 4 cases and 1 complicated with dural arterial venous fistulous.Endovnscular treatment was performed in 2 patients and coupled with bypass surgery in one.Risks control was performed in 2 patients.No adverse event was observed.Conclusions The diagnosis of ICA anomalies was based on the morphology of carotid canal.Multiple intracranial vascular disorders might be complicated.Thorough analysis of radiographic features was beneficial to decision-making for clinical practice.
出处
《中华神经外科杂志》
CSCD
北大核心
2015年第2期196-199,共4页
Chinese Journal of Neurosurgery
基金
长海医院1255学科建设计划（CH125520100）
关键词
颈内动脉
发育障碍
影像学
临床特征
Internal carotid artery
Developmental disabilities
Radiographic
Clinical features
