摘要
静脉充盈早现是急性脑梗死患者脑血管造影时一种少见影像学表现,近年来急性缺血性卒中血管内治疗在国内外广泛开展,但随访造影直接观察到静脉充盈早现现象消失证实其可逆性的报道较少见。现报道1例急诊取栓术后观察到静脉充盈早现、随访期复查消失的案例。患者为71岁男性,主因"突发左侧肢体无力42 min"急诊就诊,行静脉溶栓及桥接大脑中动脉机械取栓,术后即刻造影可见动脉期早显的丘纹静脉。术后影像学复查提示基底节区梗死,2周后患者复查造影提示静脉早显结构消失。
Early venous filling is a special imaging manifestation of cerebral angiography in patients with acute ischemic stroke.Endovascular therapy for acute ischemic stroke has been carried outwidely.However,reports involving disappearance of early venous filling and then confirming its reversibility during follow-up angiographic review are somewhat scarce.Here a case in which the early venous filling after emergency thrombectomy disappeared during follow-up examination is reported.A 71-year-old male was admitted with sudden onset of left-sided weakness for 42 minutes.Intravenous thrombolysis and bridging middle cerebral artery mechanical thrombectomy were performed.Early filling of the thalamostriate vein was visible in the digital subtraction angiography series immediately after recanalization and follow-up imaging revealed infarction of the basal ganglia.Follow up angiography showed that the phenomenon of early venous filling disappeared two weeks later.
作者
陈涵丰
徐子奇
Chen Hanfeng;Xu Ziqi(Department of Neurology,the First Affiliated Hospital of Zhejiang University,Hangzhou 310003,China)
出处
《中华神经科杂志》
CAS
CSCD
北大核心
2020年第2期115-118,共4页
Chinese Journal of Neurology
作者简介
通信作者:徐子奇,E-mail: zyxuziqi@zju.edu.cn。
