蝶窦性鼻窦炎治疗后颈内动脉狭窄的改善：1例报告及文献复习。

IF 1.1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL Internal Medicine Pub Date : 2025-08-01 Epub Date: 2025-02-01 DOI:10.2169/internalmedicine.4859-24

Shuto Fushimi, Motohiro Nomura, Takashi Wada, Kentaro Mori, Issei Fukui, Akira Tamase, Ryo Yamada, Mari Kojima, Tatsu Nakano, Tetsuya Yamamoto

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引用次数: 0

摘要

患者为妊娠34周的36岁女性，以头痛为主要症状。磁共振成像（MRI）显示双侧颈内动脉（ICA）狭窄和蝶窦炎症改变。弥散加权MRI未见脑梗死。她被诊断为蝶窦炎引起的ICA狭窄，并接受了静脉注射抗生素和皮质类固醇的手术治疗。她的头痛有所改善，MRI显示双侧ICA狭窄明显改善，无脑梗死。严重的鼻窦炎也会导致ICA狭窄。病因性鼻窦炎的早期诊断和适当的治疗可以改善ICA狭窄和预防中风。

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Improvements in Internal Carotid Artery Stenosis by Sinusitis Following Treatment of Sphenoid Sinusitis: A Case Report and Literature Review.

The patient was a 36-year-old woman in the 34th week of pregnancy who presented with headache. Magnetic resonance imaging (MRI) revealed bilateral internal carotid artery (ICA) stenosis and inflammatory changes in the sphenoid sinus. No cerebral infarction was detected on diffusion-weighted magnetic MRI. She was diagnosed with ICA stenosis induced by sphenoid sinusitis and underwent surgical treatment with intravenous antibiotics and corticosteroids. Her headache improved, and MRI showed remarkable improvement in bilateral ICA stenosis and no cerebral infarction. Severe sinusitis can also cause ICA stenoses. An early diagnosis and appropriate treatment of causative sinusitis can improve ICA stenosis and prevent stroke.

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.