2021年04月30日发布 | 675阅读

神经血管影像速阅(18):颈总动脉重度狭窄伴斑块内出血

陈红兵

中山大学附属第一医院

达人收藏

Severe Common Carotid Artery Stenosis with Intraplaque Hemorrhage

基本信息 Basic Information


男,63岁

63-year-old male


症状:头晕

Symptoms: dizziness


糖尿病和吸烟

Diabetes and smoking




Imaging Data


影像资料




△颈部3D-TOF-MRA:右侧颈总动脉远端重度狭窄(红箭),左侧颈总动脉远端溃疡斑块伴管腔中度狭窄(橙箭)


Cervical 3D-TOF-MRA showed a severe stenosis in the distal segment of right common carotid artery (red arrow), and an ulcer plaque with a moderate lumen stenosis in the distal segment of left common carotid artery (orange arrow).



△DSA:右侧颈总动脉远端重度狭窄(红箭),左侧颈总动脉远端溃疡斑块伴管腔中度狭窄(橙箭)


DSA showed a severe stenosis in the distal segment of right common carotid artery (red arrow), and an ulcer plaque with a moderate lumen stenosis in the distal segment of left common carotid artery(orange arrow).





颈部3D-TOF-MRA源图像和管壁高分辨MRI(T1WI和T2WI):右侧颈总动脉局部管壁偏心性增厚,可见斑块内出血高信号(红箭)


Source images of cervical 3D-TOF-MRA and vessel wall high resolution MRI(T1WI and T2WI) showed an eccentric thickness of the vessel wall of right common carotid artery, and a hyper-signal of intraplaque hemorrhage (red arrow).


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