摘要
永存舌下动脉(PHA)是第二常见的颈动脉-基底动脉吻合,此类患者常伴随后交通动脉发育不良或缺如,以及同侧、对侧或双侧椎动脉的发育不良,由于血管的异常吻合,会导致脑缺血症状和体征的复杂化,前循环的栓子可以导致前循环和后循环梗死。本院近期收治了1例PHA合并脑干梗死患者,表现为构音障碍、吞咽困难,经过抗血小板聚集及改善循环等治疗好转,2个月电话回访构音障碍及吞咽困难较前明显改善,本研究拟结合文献对该病例进行详细阐述,并对4种胚胎性颈动脉-基底动脉吻合作一总结。
Persistent sublingual artery(PHA)is the second common carotid-basilar artery anastomosis.Such patients are often accompanied by hypoplasia or absence of posterior communicating artery,as well as ipsilateral,contralateral or bilateral vertebral artery dysplasia.Because of the abnormal vascular anastomosis,the symptoms and signs of cerebral ischemia will be complicated.The embolus from anterior circulation can lead to anterior and posterior circulation infarction.Recently,a patient having PHA accompanied with brainstem infarction was admitted to our hospital.The patient showed dysarthria and dysphagia.After treatment of antiplatelet aggregation and circulation improvement,dysarthria and dysphagia were significantly improved after 2-month telephone follow-up.This study will elaborate the case in detail and summarize four types of fetal carotid-basilar artery anastomosis.
作者
颜俊文
张丽娥
关贤生
李继中
颜小庚
韩江全
Yan Junwen;Zhang Li′e;Guan Xiansheng;Li Jizhong;Yan Xiaogeng;Han Jiangquan(Department of Neurology,the Fifth Affiliated(Zhuhai)Hospital of Zunyi Medical University,Zhuhai,Guangdong 519100,China)
出处
《中国脑血管病杂志》
CAS
CSCD
北大核心
2021年第2期126-128,共3页
Chinese Journal of Cerebrovascular Diseases
关键词
永存舌下动脉
脑梗死
脑干梗死
Persistent sublingual artery
Cerebral infarction
Brainstem infarction
