Neurology:胼胝体压部梗死的罕见病因:大脑前动脉夹层动脉瘤

2018-09-22 佚名 神经科病例撷英拾粹

53岁男性,表现为左手无力。脑MRI提示右侧胼胝体压部急性梗死。数字减影血管造影可见右侧大脑前动脉(ACA)A2段扩张伴狭窄病变。

53岁男性,表现为左手无力。脑MRI提示右侧胼胝体压部急性梗死(图A)。数字减影血管造影可见右侧大脑前动脉(ACA)A2段扩张伴狭窄病变(图B)。3D高分辨MRI(HRMRI)可见ACA内膜瓣和双腔征(图C-E),证实夹层动脉瘤的诊断。复查HRMRI提示节段性管腔改变,从扩张到狭窄(图F,箭,3月后)。压部通常由大脑后动脉的分支供血。ACA夹层动脉瘤是一种罕见的病因机制。HRMRI有助于明确夹层诊断


(图:A:DWI可见右侧胼胝体压部急性梗死;B:DSA可见右侧大脑前动脉扩张伴狭窄病变;C-D:高分辨MRI可见内膜瓣,提示夹层动脉瘤[箭];F:复查MRI发现从管腔扩张到狭窄的节段性改变[箭])

原始出处:Zhu X1, Zhang X1, Lu S1, Liu Z2. Rare etiology for splenium of corpus callosum infarction: Anterior cerebral artery dissecting aneurysm. Neurology. 2018 Sep 4;91(10):481-482. 

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    2019-06-19 yinhl1978
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    2019-01-21 13718711b3m

    很不错的学习资料,值得借鉴的临床经验,学习了,获益匪浅,感谢分享!

    0

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    2018-09-24 syscxl
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