摘要该例颈动脉蹼致反复短暂性脑缺血发作(TIA)患者为中年男性,主要临床表现为反复发作性左侧肢体乏力及麻木.该患者颈部CT血管成像、颈部核磁共振血管成像、颈部数字减影血管造影、颈部血管彩超检查结果考虑为颈动脉蹼,经常规内科的抗血小板聚集、调脂、改善脑循环等治疗后,患者症状未见明显好转,后转至神经外科行颈动脉内膜剥脱手术,术中手术标本及术后病理结果证实为颈动脉蹼,术后并继续予抗血小板聚集等治疗,患者病情改善良好,未再发生TIA.

abstractsThe patient was a middle-aged male with the recurrent transient ischemic attack caused by carotid web,and the common symptoms include recurrent left limb weakness and numbness.According to the results of the CT angiography,the digital substraction angiography,the magnetic resonance angiography and the colour-Doppler ultrasound of the neck,the patient was considered with carotid artery web.After conventional medical treatment such as anti-platelet aggregation,lipid regulation and improvement of cerebral circulation,the patient's symptoms did not improve significantly.Later,the patient underwent carotid endarterectomy.The pathological examination results of the tissue from the surgery confirmed the patient with carotid artery web.Moreover,after surgery,the patient did not experience transient ischemic attack any more.