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Journal of ZheJiang University(Medical Science)  2015, Vol. 44 Issue (2): 229-232    DOI: 10.3785/j.issn.1008-9292.2015.03.018
    
Carotid artery dissection with Horner syndrome as main manifestation:a case report
FANG Xing, XU Zi-qi, LUO Ben-yan, YUAN Huai-wu, ZHU Xiong-chao, YUAN Yuan
Department of Neurology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
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Abstract  

A 44-year old male patient was admitted to the First Affiliated Hospital,Zhejiang University School of Medicine with left ptosis and pain on the left head and neck for 20 days.Brain MRI showed subacute cerebral infarction on left parietal lobe and intramural hematoma on left internal carotid artery. CT angiography showed stenosis line on the C1 segment of left internal carotid artery. Digital subtraction angiography showed dissection on the C1 segment of left internal carotid artery.The condition of patients was improved after anticoagulant therapy.



Key wordsHorner syndrome/diagnosis      Brain infarction/complications      Carotid artery diseases/drug therapy      Heparin, low-molecular      Weight/therapeutic use      Magnetic resonance imaging      Cerebral angiography      Case reports     
Received: 03 October 2014      Published: 25 March 2015
CLC:  R543.4  
Cite this article:

FANG Xing, XU Zi-qi, LUO Ben-yan, YUAN Huai-wu, ZHU Xiong-chao, YUAN Yuan. Carotid artery dissection with Horner syndrome as main manifestation:a case report. Journal of ZheJiang University(Medical Science), 2015, 44(2): 229-232.

URL:

http://www.zjujournals.com/med/10.3785/j.issn.1008-9292.2015.03.018     OR     http://www.zjujournals.com/med/Y2015/V44/I2/229


以霍纳综合征为主要表现的颈动脉夹层一例

一例44岁患者因“左侧眼睑下垂伴左侧头部及颈部疼痛20天”入院,颅脑核磁共振成像示左侧顶叶亚急性脑梗死,左侧颈内动脉壁间血肿,颈部血管计算机断层扫描血管造影示左侧颈内动脉C1段颈段线状狭窄,全脑血管造影术示左侧颈内动脉C1段夹层。经抗凝等治疗后病情好转。


关键词: 霍纳综合征/诊断,  脑梗死/并发症,  颈动脉疾病/药物疗法,  肝素低分子量/治疗应用,  磁共振成像,  脑血管造影术,  病例报告 

[1] BESSELMANN M, VENNEMANN B, LOWENS S, et al. Internal carotid artery dissection[J]. Neurology, 2000,54(2):442.
[2] LEE V H, BROWN R D JR, MANDREKAR J N, et al. Incidence and outcome of cervical artery dissection:a population-based study[J]. Neurology, 2006,67(10):1809-1812.
[3] SCHIEVINK W I. Spontaneous dissection of the carotid and vertebral arteries[J]. N Engl J Med, 2001,344(12):898-906.
[4] BIOUSSE V D, ANGLEJAN-CHATILLON J, MASSION H, et al. Head pain in nontraumatic carotid artery dissection:a series of 65 patients[J]. Cephalagia, 1994, 14:33-36.
[5] 赵洪芹,刘 贤.头颈部动脉夹层[J]. 中国卒中杂志, 2009,4(3):255-258. ZHAO Hong-qin, LIU Xian. Cervicocerebral arterial dissection[J]. Chinese Journal of Stroke, 2009,4(3):255-258. (in Chinese)
[6] DEBETTE S, LEYS D. Cervical-artery dissections:predisposing factors, diagnosis, and outcome[J]. Lancet Neurol, 2009,8(7):668-678.
[7] BENNINGER D H, GEORGIADIS D, KREMER C, et al. Mechanism of ischemic infarct in spontaneous carotid dissection[J]. Stroke, 2004,35(2):482-485.
[8] RODALLEC M H, MARTEAU V, GERBER S, et al. Craniocervical arterial dissection:spectrum of imaging findings and differential diagnosis[J]. Radiographics, 2008,28(6):1711-1728.
[9] CAPLAN L R.Dissections of brain-supplying arteries[J]. Nat Clin Pract Neurol, 2008,4(1):34-42.
[10] ENGELTER S T, BRANDT T, DEBETTE S, et al. Antiplatelets versus anticoagulation in cervical artery dissection[J]. Stroke, 2007,38(9):2605-2611.
[11] GEORGIADIS D, ARNOLD M, VON BUEDINGEN H C, et al. Aspirin vs anticoagulation in carotid artery dissection:a study of 298 patients[J]. Neurology, 2009,72(21):1810-1815.
[12] 中华医学会神经病学分会脑血管病学组缺血性脑卒中二级预防指南撰写组.中国缺血性脑卒中和短暂性脑缺血发作二级预防指南2010[J]. 中华神经科杂志, 2010,43(2):154-160. Cerebrovascular Disease Study Group,Chinese Medical Association Branch of Neurology.Chinese guidelines for secondary prevention of ischemic stroke 2010 [J]. Chinese Journal of Neurology, 2010,43(2):154-160.(in Chinese)

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