CAJ | 학술논문

目的探讨颈内动脉盗血综合征的临床特点.方法分析6例颈内动脉盗血综合征患者的临床表现、CT或MRI、数字减影血管造影及血流代偿情况.结果 6例患者中,单侧颈内动脉闭塞2例,严重狭窄4例(其中左侧2例,右侧1例,双侧1例).颈内动脉盗血综合征患者临床表现为分水岭区脑梗死和短暂性脑缺血发作,后循环缺血4例,前循环缺血2例.数字减影血管造影提示,6例患者均有侧支循环建立,前交通动脉、后交通动脉和软膜动脉是常见的代偿血管.结论颈内动脉盗血综合征可表现为前、后循环缺血症状,侧支循环在代偿中起重要作用.
목적 탐토경내동맥도혈종합정적림상특점.방법 분석6례경내동맥도혈종합정환자적림상표현、CT혹MRI、수자감영혈관조영급혈류대상정황.결과 6례환자중,단측경내동맥폐새2례,엄중협착4례(기중좌측2례,우측1례,쌍측1례).경내동맥도혈종합정환자림상표현위분수령구뇌경사화단잠성뇌결혈발작,후순배결혈4례,전순배결혈2례.수자감영혈관조영제시,6례환자균유측지순배건립,전교통동맥、후교통동맥화연막동맥시상견적대상혈관.결론 경내동맥도혈종합정가표현위전、후순배결혈증상,측지순배재대상중기중요작용.
Objective To investigate the clinical features of internal carotid steal syndrome. Methods The clinical manifestations, CT or MRI, digital subtraction angiography, and blood flow compensation in 6 patients with internal carotid steal syndrome were analyzed. Results Of the 6 patients, 2 had unilateral internal carotid artery stenosis, 4 had severe stenosis (in which 2 were on the left side, 1 was on the right side, and 1 was on both sides). The clinical manifestations of the patients with internal carotid steal syndrome were watershed infarction and transient ischemic attack. Four patients had posterior circulation ischemia and 2 had anterior circulation ischemia. Digital subtraction angiography demonstrated that collateral circulation was established in all the 6 patients. The anterior communicating artery, posterior communicating artery, and pial artery were the common compensatory vessels. Conclusions Internal carotid artery steal syndrome can be presented as anterior or posterior circulation ischemia, and the collateral circulation plays an important role in the compensation.