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神经血管影像速阅3外伤性颈内动脉夹层 [复制链接]

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TraumaticInternalCarotidArteryDissectionandBrainInfarctioninChildren

基本信息BasicInformation

男,5岁

5-year-oldboy

症状:左侧口咽部外伤后右侧肢体无力和言语困难

Symptoms:rightlimbweaknessanddysphasiaaftertheleftoropharyngealtrauma

影像资料

ImagingData

△DWI:左侧半球大面积梗死

△DWI:largeterritoryinfarctsinthelefthemisphere

△颈部3D-TOF-MRA:左侧颈内动脉管腔显影较对侧纤细,局部夹层动脉瘤形成

△Cervical3D-TOF-MRA:thevessellumenoftheleftinternalcarotidartery(ICA)wassmallerthanitoftherightICA;andadissectionaneurysmwasobservedinthecervicalsegmentoftheleftICA

△管壁高分辨MRI-T1WI:左侧颈内动脉局部高信号亚急性壁内血肿(红箭)

△High-resolutionvesselwallMRI-T1WI:acrescenthighsignalofthesubacuteintramuralhematomawasdetectedintheleftinternalcarotidartery(redarrow)

原创作者/陈红兵

编辑/*欣怡

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