Bilateral Extracranial Carotid Artery Aneurysms Presenting with Acute Cerebral Infarction

以急性腦梗塞為表現的兩側性顱外頸動脈血管瘤

傅斯誠(Ser-Chen Fu) ； 劉智仰(Chih-Yang Liu) ； 林信光(Shinn-Kuang Lin)

《童綜合醫學雜誌》 9卷1期 (2015/06) Pp. 52-57

摘要

顱外頸動脈血管瘤是少見造成血栓性腦梗塞的原因，顱外頸動脈血管瘤病人的臨床表現是多樣化的。仔細的審視腦部電腦斷層顱底部構造是篩檢顱外頸動脈血管瘤很重要的方式。進一步頸部核磁共振血管攝影或電腦斷層血管攝影是確定診斷的必要檢查。治療的方法包括外科手術、血管內介入性治療及藥物治療。我們報告一例此少見的以急性腦梗塞為表現的兩側性顱外頸動脈血管瘤。造成腦梗塞的原因是來自於高位性內頸動脈巨大血管瘤產生的動脈－至－動脈的血栓。

關鍵字

顱外頸動脈血管瘤 ； 內頸動脈瘤 ； 腦梗塞

並列摘要

Extracranial carotid artery aneurysm (ECCA) is an uncommon cause of embolic stroke. Patients with ECCA present with a variety of clinical symptoms. Careful inspection of the skull base of cross-sectional brain computed tomography (CT) is important for screening high cervical ECCAs. Further cervical magnetic resonance (MR) angiography or CT angiography is necessary to confirm the final diagnosis. Treatment options include open surgery, endovascular intervention, or medical management. Here, we report the case of a patient with bilateral atherosclerotic ECCAs who presented with acute cerebral infarction. The cause of stroke was documented as artery-to-artery emboli from a giant aneurysm of the left high cervical internal carotid artery (ICA).

並列關鍵字

extracranial carotid aneurysm ； internal carotid aneurysm ； cerebral infarction