摘要
Abstract
Objective To explore the clinical features of cerebral artery dissection .Methods The clinical data of 19 patients with cerebral artery dissection were retrospectively analyzed .Results There were 13 male and 6 female in these patients;age ranged from 28 to 78 years old, the average age was(54.7 ±14.4) years.There were 11 cases of hypertension , 2 cases of diabetes , 5 cases of high homocysteine , 10 cases of atherosclerosis , 3 cases of sports-related injury , 1 case of syphilitic vascular disease , 7 cases of history of stroke , 6 cases of smoking history .The onset was cerebral infarction in 10 cases(watershed infarction 3 cases ), posterior circulation ischemic attack in 6 cases, cerebral hemorrhage in 2 cases.The manifestation was hemiplegia in 7 cases, dizziness in 7 cases, head and neck pain in 5 cases.Cerebrovascular DSA or CTA (1 case) examination showed carotid artery dissection in 11 cases ( 57.9%),vertebral artery dissection in 7 cases( 36.8% ), subclavian artery dissection with stenosis in 1 case ( 5.3%),double lumen sign in 4 cases, beaded sign in 2 cases, string sign in 2 cases, the false lumen or pseudoaneurysm in 1 case, plaque -related dissection in 10 cases.MRI showed vertebral artery lumen sign 1 case. Arterial dissection disappeared after endovascular stenting in 9 cases;The therapy of antiplatelet and statin was in 10 cases, arteriovenous thrombolytic therapy in 1 case, and anticoagulant therapy in 1 case.After(8.7 ±5.2) months observation, the patients had basic recovery or favourable prognosis in 17 cases(89.5%), improvement in 2 cases (10.5%), and all of them had no stroke recurrence .Conclusions Most of patients with cerebral artery dissection can suffer ischemic stroke , and majority accompanied with carotid atherosclerosis . According to the patient's condition, the application of endovascular stenting or antiplatelet , statin have a better curative effect .关键词
脑动脉夹层/动脉粥样硬化/缺血性脑卒中/DSAKey words
cerebral artery dissection/atherosclerosis/cerebral ischemical stroke/DSA分类
医药卫生
