论文部分内容阅读
两年中Mayo chinic见到13例非外伤性颈内动脉夹层,其中有5例以同侧头,面部疼痛及霍纳氏综合征为起始症状,5例中有1例发生卒中,出现了明显的神经系统症状,其余4例仅见不全的霍纳氏综合征.所有5例均有单侧头痛,起始于额,眶或眼眶的周围部分,并伴有同侧瞳孔小,眼睑下垂,但无面部汗分泌障碍,头痛为持续性,非搏动性,但严重程度不等,第1,2,3,例尚有同侧头部的压敏,第4例有失语,脑血管造影可见第1,2例血管的多处均受犯,管腔很不规律,示动脉有特发性退行性病变,第4例似由胶原—弹力纤维的病变所致,脑
In two years, Mayo Chinic saw 13 cases of non-traumatic carotid dissection, of which 5 started with ipsilateral head, facial pain and Horner’s syndrome, and 1 out of 5 had a stroke Obvious neurological symptoms, and the remaining 4 cases only see the incomplete Horner’s syndrome.All five patients had unilateral headache, starting in the frontal, orbital orbital part of the circumference, accompanied by ipsilateral pupil, ptosis, But no facial sweat secretion disorders, headache was persistent, non-pulsatile, but the severity varies, 1,2,3 cases, there are ipsilateral head pressure-sensitive, the fourth case of aphasia, cerebral angiography can be seen The first and second cases of blood vessels are subject to many, the lumen is very irregular, showing an idiopathic arterial degenerative disease, the fourth case may be caused by collagen - elastic fibers caused by the brain