CAJ | 학술논문

目的观察血管内介入治疗对颅内外动脉狭窄引起的癫痫发作的疗效.方法四川省人民医院神经内科2009年、2011年共收治2例颅内外动脉狭窄引起的癫痫发作患者.例1为左侧颈内动脉起始部线样狭窄,右侧颈内动脉起始部及右侧椎动脉起始部中度狭窄;例2为右侧颈内动脉起始部闭塞,左侧颈内动脉床突段重度狭窄,双侧椎动脉起始部重度狭窄支架术后再狭窄.2例患者均接受了血管内支架成形术及球囊扩张术治疗.术后随访1～3年.结果术后2例患者临床症状消失.例1随访近3年,例2随访1年多,均规律服用抗血小板聚集药,均无临床症状复发.结论血管内介入治疗是治疗颅内外动脉狭窄引起的癫痫发作的安全、有效的方法.
목적 관찰혈관내개입치료대로내외동맥협착인기적전간발작적료효.방법 사천성인민의원신경내과2009년、2011년공수치2례로내외동맥협착인기적전간발작환자.례1위좌측경내동맥기시부선양협착,우측경내동맥기시부급우측추동맥기시부중도협착;례2위우측경내동맥기시부폐새,좌측경내동맥상돌단중도협착,쌍측추동맥기시부중도협착지가술후재협착.2례환자균접수료혈관내지가성형술급구낭확장술치료.술후수방1～3년.결과 술후2례환자림상증상소실.례1수방근3년,례2수방1년다,균규률복용항혈소판취집약,균무림상증상복발.결론 혈관내개입치료시치료로내외동맥협착인기적전간발작적안전、유효적방법.
Objective To observe the therapeutic effect of endovascular treatment on patients with epileptic attack induced by carotid artery or vertebral artery stenosis.Methods Two epileptic attack patients,diagnosed as having symptomatic carotid artery or vertebral artery stenosis by DSA,were performed endovascular stenting and balloon dilation.Case one had a serious artery stenosis at the left original internal carotid artery and moderate artery stenosis at the right proximal internal carotid artery and vertebral artery.Case two had 1 occlusion at the right original intemal carotid artery and serious artery stenosis at the clinoid segment of left internal carotid artery and the double proximal vertebral arteries restenosis after percutaneous transluminal angioplasty and stenting (PTAS) for symptomatic ostial vertebral artery stenosis.Two patients were treated with PTAS and balloon angioplasty.Follow up was performed for one to three years.Results The clinical symptoms of these two patients disappeared aftter the operation.Case one was followed up for almost 3 years and case two for more than one year; no relapse was noted for their regular taking platelet aggregation inhibitor and without taking antiepileptic drug.Conclusion Endovascular treatment is a safe and efficient method for treating patients with epileptic attack induced by carotid artery or vertebra-basilar artery stenosis.