椎動脈剝離－病例報告

腦血管疾病肇因於中樞後部循環（posterior circulation）異常者本已少見，而兒童之脊椎動脈剝離在文獻上更為罕見。儘早診斷與治療是減少日後神經學後遺症的最大關鍵。本院於1997年底經歷一14歲男孩因眩暈在他院治療無效後轉診至本院，由於患者日前有校園暴力引起的頸部外傷病史，配合影像學檢查結果，診斷為右椎動脈剝離，後於兒童神經科治療，追蹤迄今約1年5個月恢愎情況良好，無明顯後遺症。此類型血管病變若能及早診斷和治療則預後佳，所以我們建議對有頭頸部受傷病史之眩暈病患，無論傷害程度大小均應排除椎動脈剝離之可能。

關鍵字

椎動脈；剝離；眩暈

並列摘要

Vertebral artery dissection, which usually follows minor cervical trauma, is an uncommon but important cause of circulatory disturbance in the poste-rior cranial fossa. Clinical assessment including detailed history-taking, and physical examination and imaging study is critically important for early detection of this disease. In addition to early diagnosis, treatment with anti-coagulatn and antiplatelet drugs is the key to achieving a better prognosis. In 1997, we encountered a 14-year-old boy with vertebral artery dissect-tion. He had experienced accidental strangulation of the neck in a violent event 2 days before presentation. Acute-onset vertigo, nausea, and right hemiparesis were the initial symptoms. After treatment with anticoagulant and antiplatelet agents, his neurologic deficits recovered gradually without obvious sequelae. In conclusion, we suggest that vertebral artery dissection be suspected if acute vertigo follows cervical trauma.

並列關鍵字

vertebral artery ； dissection ； vertigo

國際替代計量

椎動脈剝離－病例報告

全文下載

主題瀏覽