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中华脑血管病杂志(电子版) ›› 2022, Vol. 16 ›› Issue (05) : 366 -368. doi: 10.11817/j.issn.1673-9248.2022.05.015

病例报告

伴有颈动脉夹层的马方综合征相关脑梗死一例
张文浩1, 杜康1, 刘冉1, 王朝霞1, 孙葳1, 孙云闯1,()   
  1. 1. 100034 北京大学第一医院神经内科
  • 收稿日期:2021-12-13 出版日期:2022-10-01
  • 通信作者: 孙云闯

A case of cerebral infarction associated with Marfan syndrome accompanied by carotid artery dissection

Wenhao Zhang1, Kang Du1, Ran Liu1   

  • Received:2021-12-13 Published:2022-10-01
引用本文:

张文浩, 杜康, 刘冉, 王朝霞, 孙葳, 孙云闯. 伴有颈动脉夹层的马方综合征相关脑梗死一例[J]. 中华脑血管病杂志(电子版), 2022, 16(05): 366-368.

Wenhao Zhang, Kang Du, Ran Liu. A case of cerebral infarction associated with Marfan syndrome accompanied by carotid artery dissection[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2022, 16(05): 366-368.

图1 患者6年前胸腹CT血管造影提示主动脉夹层。图a示累及升主动脉、降主动脉及其主要分支,图b示主动脉夹层累及包括左侧锁骨下动脉(蓝箭头)及左侧颈总动脉(红箭头)
图2 患者体格检查。图a示拇指向尺侧屈曲时,拇指尖端超出手尺侧缘,提示经典拇指征;图b示脚趾细长;图c示与同年龄正常女性相比,患者手指明显过长
图3 本次入院后患者头颅CT及主动脉CT血管造影检查结果。图a示左侧额叶、顶叶、颞叶、岛叶及左侧基底节区梗死灶;图b示主动脉弓夹层(DeBakey Ⅰ型),累及降主动脉及双侧髂外动脉;图c示左侧锁骨下动脉夹层(蓝箭头)及左侧颈总动脉夹层(红箭头);图d示双侧颈内动脉及左侧大脑前动脉多发梭形动脉瘤以及左侧大脑中动脉M1段中远段闭塞
图4 患者基因检测结果提示FBN1基因c.510C>G p.Tyr170*杂合无义突变
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