2021年02月22日发布 | 1183阅读

神经血管影像速阅(1):颈内动脉夹层和霍纳综合征

陈红兵

中山大学附属第一医院

达人收藏

Internal Carotid Artery Dissection and Horner's Syndrome


基本信息 Basic Information


男,44岁

44-year-old male


症状:头痛,发作性左侧肢体无力

Symptoms: headache and paroxysmal left side weakness


吸烟史

History of smoking



影像资料 Imaging Data



△头颅CTA:左侧颅外段颈内动脉闭塞

Cranial CTA: Extra-cranial internal carotid occlusion




T1WI和T2WI:左侧颈内动脉局部高信号亚急性壁内血肿(橙箭)

T1WI and T2WIHigh signal of subacute intramural hematoma of the left internal carotid artery (orange arrow)



霍纳氏综合征:左眼上睑下垂;左侧瞳孔小于右侧

Horner's syndrome: left upper eyelid was drooping; the left pupil  size was smaller than the right pupil



经抗血小板治疗2个月后,颈部3D-TOF-MRA:左侧颈内动脉闭塞已再通,管腔稍不规则(橙箭)


After 2-month antiplatelet therapy, the cervical 3D-TOF-MRA: the left internal cranial artery occlusion had recanalized, and the lumen was slightly irregular (orange arrow)

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