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中华脑血管病杂志(电子版) ›› 2026, Vol. 20 ›› Issue (05) : 590 -593. doi: 10.3877/cma.j.issn.1673-9248.2026.05.016

病例报告

水痘-带状疱疹病毒致臂丛神经炎合并急性脑梗死一例及文献复习
张星, 鲁明†()   
  1. 100026 北京,首都医科大学附属北京朝阳医院神经内科
  • 收稿日期:2026-05-31 出版日期:2026-10-01
  • 通信作者: 鲁明

Varicella-zoster virus-associated brachial plexus neuritis complicated by acute cerebral infarction: a case report and literature review

Xing Zhang, Ming Lu†()   

  • Received:2026-05-31 Published:2026-10-01
  • Corresponding author: Ming Lu
引用本文:

张星, 鲁明. 水痘-带状疱疹病毒致臂丛神经炎合并急性脑梗死一例及文献复习[J/OL]. 中华脑血管病杂志(电子版), 2026, 20(05): 590-593.

Xing Zhang, Ming Lu. Varicella-zoster virus-associated brachial plexus neuritis complicated by acute cerebral infarction: a case report and literature review[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2026, 20(05): 590-593.

图1 带状疱疹并发严重的臂丛神经炎及急性脑梗死患者住院时和出院后1个月的影像学资料。图a为住院时头颅磁共振成像(MRI)-弥散加权成像(DWI),示左侧顶叶急性梗死灶;图b为住院时磁共振血管成像,示左侧大脑中动脉M2段闭塞,双侧椎动脉V4段及基底动脉纤细,浅淡,管腔中重度狭窄或闭塞,右侧大脑后动脉纤细、浅淡,远端血管稀疏,提示重度狭窄或闭塞可能;图c、d、e、f分别为住院时高分辨率磁共振动脉管壁增强成像冠位、轴位成像,示左侧大脑中动脉、椎动脉、基底动脉环形强化;图g为住院时臂丛增强MRI,示左侧臂丛增粗、强化;图h为出院后1个月随访时外院动态CT血管成像,与基线比较,血管狭窄未见明显变化(示左侧大脑中动脉、双侧椎动脉V4段及基底动脉、右侧大脑后动脉闭塞);图i为出院后1个月随访时外院头颅MRI-DWI,示左侧顶叶新发急性梗死灶
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