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題 名 | 椎動脈剝離--病例報告=Vertebral Artery Dissection--Case Report |
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作 者 | 林新景; 蘇志英; 李明謙; 張瑛玿; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷 期 | 34:4 民88.07-08 |
頁 次 | 頁315-319 |
分類號 | 416.291 |
關鍵詞 | 椎動脈; 剝離; 眩暈; Vertebral artery; Dissection; Vertigo; |
語 文 | 中文(Chinese) |
中文摘要 | 腦血管疾肇因於中樞後部循環(posterior circulation)異常者本已少見,而兒童 之脊椎動脈剝離在文獻上更為罕見。儘早診斷與治療是減少日後神經學後遺症的最大關鍵。 本院於 1997 年底歷一 14 歲男孩因眩暈在他院治療無效後轉診至本院,由於患者日前有校 園暴力引起的頸部外傷病史,配合影像學檢查結果,診斷為石椎動脈剝離,後於兒童神經科 治療,追蹤迄今約 1 年 5 個月恢愎情況良好,無明顥後遺症。此類型血管病變若能及早診 斷和治療則預後佳,所以我們建議對有頭頸部受傷病史之眩暈病患,無論傷害程度大小均應 排除椎動脈剝離之可能。 |
英文摘要 | Vertebral artery dissection, which usually follows minor cervical trauma, is an uncommon but important cause of circulatory disturbance in the posterior cranial fossa. Clinical assessment including detalled history-taking and physical examination and imaging study is critically important for early detection of this disease. In addition to early diagnosis, treatment with anticagulant and antiplatelet drugs is the key to achieving a better prognosis, In 1997, we encountered a 14-year-old boy with vertebral artery dissection. He had experienced accidental strangulation of the neck in a violent event 2 days before presentation. Acute-onset vertigo, nausea and right hemiparesis were the initial symptoms. After treatment with anticoagulant and antiplatelet agents, his neurologic deficits recovereed gradually without ovbious sequelae. In conclusion, we suggest that vertebral artery dissection be suspected if acute vertigo follows cervical trauma. |
本系統中英文摘要資訊取自各篇刊載內容。