广泛性脑动脉血栓。

S. Mourgela, A. Sakellaropoulos
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摘要

脑动脉血栓形成是导致死亡的主要原因之一。通常不清楚哪种病理过程参与了这种病理实体。我们报告一例47岁女性患者,反复发作脑动脉血栓形成,无永久性神经功能缺损,有重度吸烟、高血压、甲状腺功能减退、高胆固醇血症、代谢综合征和胰岛素抵抗性餐后高血糖史。脑磁共振血管造影(MRA)显示左侧颈内动脉(ICA)全血栓形成,右侧颈内动脉(ICA)部分血栓形成。虽然,脑动脉血栓形成的程度由于多种危险因素并存,但由于椎基底系统供血充足,侧支循环有效,临床症状较轻。
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Extensive cerebral arteries thrombosis.
Cerebral artery thrombosis is one of the major causes of death. It is usually not clear what kind of pathologic processes participate in this pathological entity. We report a case of a 47-year old female patient with recurrent episodes of cerebral arterial thrombosis, without permanent neurological deficits and history of heavy smoking, hypertension, hypothyroidism, hypercholesterolemia, metabolic syndrome and insulin resistant postprandial hyperglycemia. Brain magnetic resonance angiography (MRA) revealed total thrombosis of the left internal carotid artery (ICA) and partial thrombosis of the right ICA. Although, the extent of the cerebral arteries thrombosis due to the coexistence of many risk factors, the clinical symptoms are mild, because of the sufficient blood supply from the vertebrobasilar system and the efficient collateral circulation.
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