美容院中風症侯群

「美容院中風症侯群」之診斷以病史爲主，總是在美容院洗頭當下或之後1日內，發生後顱窩循環缺血的症狀，必須在神經耳科學檢查有客觀的發現，影像學檢查雖可確定是否有中樞性的病變，卻非確診的必要條件。一57歲女性，於美容院洗頭後發生頭暈及左側肢體運動失調，症狀持續了2週。理學檢查顯示左側肢體運動較爲緩慢而不平順。眼振電圖之慢速視標追跡檢查、快速二點交互檢查及視運動性眼振呈現異常，氣導振動式頸部前庭誘發肌性電位檢查之耳間振幅距差異比爲-0.44。動脈超音波顯示頸部過度伸展時，兩側椎動脈的血流會減少，阻力指數會增加。磁振造影顯示左側小腦半球有一處梗塞，飛行時間效應血管磁振造影顯示兩側後交通動脈缺乏，椎基底動脈系統完整。根據以上，確認是「美容院中風症侯群」，建議保守治療，爾後半年，症狀逐漸緩解。追蹤迄今已半年，情況依然穩定。

關鍵字

美容院中風症侯群；椎基底動脈循環不全；小腦梗塞

並列摘要

Beauty parlor stroke syndrome is impressed according to history that posterior circulation insufficiency relating symptoms become apparent during or shortly (within one day) after a sufferer has a hair shampoo in a beauty parlor. There should be an objective finding in neuro-otologic examination. Although an imaging study could differentiate if there is a central lesion or not, it is not an essential assessment for diagnosis. A 57-year-old woman was bothered with dizziness and left limbs' uncoordination after a hair shampoo in a beauty parlor. The symptoms persisted for two weeks. Physical examination showed left limbs' movement was slow and unsmooth. Electronystagmograms for pursuit, saccade and optokinetic nystagmus showed abnormalities. Air conducted vibration-cervical vestibular evoked myogenic potential showed that the interaural amplitude difference ratio was -0.44. Color-coded duplex ultrasonogram showed that neck hyperextension decreased the blood flow of the bilateral vertebral arteries and increased their resistance index. Magnetic resonance imaging showed an infarction over the left cerebellar hemisphere. Time-of-flight magnetic resonance angiogram showed bilateral posterior communicating arteries were absent although the vertebral-basilar artery was intact. Therefore, she was diagnosed with beauty parlor stroke syndrome, and conservative treatment was recommended. Half a year later, the symptoms remitted. The following half a year was uneventful.

並列關鍵字

beauty parlor stroke syndrome ； vertebral-basilar insufficiency ； cerebellar infarction

國際替代計量

美容院中風症侯群

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