中国脑血管病杂志2025,Vol.22Issue(5):332-334,3.DOI:10.3969/j.issn.1672-5921.2025.05.006
孤立性双侧穹窿柱梗死一例
Isolated bilateral fornix columns infarction:a case report
于艳萍 1吉利 1张慧1
作者信息
- 1. 266400 青岛市黄岛区人民医院神经内科
- 折叠
摘要
Abstract
Fornix column infarction is an extremely uncommon clinical condition,predominantly characterized by acute memory decline and Korsakoff syndrome.Owing to the unique anatomical location and morphological features of the fornix column,it is prone to being overlooked in imaging examinations.Previous studies have indicated that the primary blood supply to the fornix column is derived from the subcallosal artery,a branch of the anterior communicating artery(AComA).Iatrogenic injury following clipping of AComA aneurysms and microvascular diseases are the two most frequent causes of fornix column infarction.This paper reported a case of isolated bilateral fornix column infarction.This patient's right internal carotid artery ophthalmic segment aneurysm directly compressed the AComA and the subcallosal artery,leading to ischemia and infarction of the fornix column.This specific etiology has not been previously documented domestically or internationally.This case served as a reminder that for patients with fornix column infarction,careful screening for aneurysms in the vicinity of the AComA complex is essential.关键词
脑梗死/穹窿,脑/动脉瘤/胼胝体下动脉Key words
Cerebral infarction/Fornix,brain/Aneurysm/Subcallosal artery引用本文复制引用
于艳萍,吉利,张慧..孤立性双侧穹窿柱梗死一例[J].中国脑血管病杂志,2025,22(5):332-334,3.