Neurology:椎动脉夹层致延髓背外侧梗死1例

2018-09-10 杨中华 脑血管病及重症文献导读

38岁,女性,表现为左侧共济失调。

38岁,女性,表现为左侧共济失调。

脑MRI见左侧延髓北外侧梗死(下图A和B),MRA未见明显异常(下图C):



3D 脂肪-饱和黑血3T T1加权序列(SPACE)显示左侧椎动脉V3段沿着寰椎环血管壁血肿。下图为多维平面重建,沿着左侧椎动脉V3段可见高信号,为亚急性期壁间血肿(图A-C)。与对侧管腔(图D)相比,病变侧血管腔变窄:





原始出处:Tsivgoulis G, Papadimitropoulos GN, Lachanis S, et al. Teaching NeuroImages: Vertebral artery atlas loop dissection in 3D T1 MRI multiplanar reconstruction. Neurology. 2018 Aug 7;91(6):e599-e600. 

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    2019-03-28 yinhl1978
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