摘要对双颈内动脉颅外段闭塞1例TCD诊断分析如下。
1病历摘要男,71岁。主因左侧肢体活动障碍4 h入院。既往高血压病史10 a,血压最高达200/110 mm Hg,吸烟史30 a,饮酒10余。入院后查:BP 160/100 mm Hg,神清,语利,深舌无偏斜双侧肌力、肌张力正常,左侧肢体活动障碍基本恢复。
3Kablak-Ziembicka A, Przewloeki T, Pieniazek P, et al. Predictors of cerebral reperfusion injury afcer carotid stenting: the role oftranseranial color-coded Doppler hrasonography [J]. J Endovase Ther, 2010, 17(4): 556-563.
4Aburahma AF, Mousa AY, Stone PA. Shunting during carotid endartereetomy[J]. J Vasc Surg, 2011, 54(5): 1502-1510.
5Moulakakis KG, Mylonas SN, Sfyroeras GS, et al. Hyperperfusion syndrome aner carotid revascularization[J]. J Vasc Surg, 2009, 49 (4): 1060-1068.
6Pennekamp CW, Tromp SC, Aekerstaff RG, et al. Prediction of cerebral hyperperfusion after carotid endarterectomy with transcranial Doppler[J]. Eur J Vasc Endovasc Surg, 2012, 43 (4): 371-376.
7Lieb M, Shah U, Hines GL. Cerebral hyperperfusion syndrome after carotid intervention: a review[J]. Cardiol Rev, 2012, 20(2): 84-89.
8Vernieri F,Pasqualetti P M. Effect of collateral blood low and cerebral vasomotor reactivity on the outcome of carotid artery occlusion[J].Stroke,2001,(07):1552-1558.