双侧猎人弓综合征合并癫痫一例

Bilateral hunter′s bow syndrome combined with epilepsy: a case report

猎人弓综合征又称为旋转椎基底动脉供血不足,是一种由头颈部旋转或过伸时椎动脉的机械性闭塞或狭窄所引起的以后循环供血不足为特征的罕见疾病.关于双侧猎人弓综合征伴癫痫的病例目前报道较少,我院收治了1例29岁男性,临床表现为癫痫发作,经颅多普勒超声、颈动脉超声提示该患者为1例双侧猎人弓综合征患者,影像学提示其为先天性骨质融合致C1~C2段椎动脉发生机械性闭塞.考虑患者癫痫发作与其猎人弓综合征关系密切.

Bow hunter′s syndrome, also known as vertebral basilar artery insufficiency, is a rare disease characterized by post-circulation blood supply insufficiency caused by mechanical or stenosis of the vertebral artery when the head and neck rotate or over-extend. To date, few cases regarding the bilateral hunter′s bow syndrome concurrent with epilepsy have been reported. A 29-year-old man was admitted to the First Hospital of Jilin University due to seizures. Results from transcranial Doppler ultrasound and carotid ultrasound showed that the patient had bilateral hunter′s bow syndrome. Further imaging examination showed that the syndrome was caused by congenital bone fusion which resulted in mechanical occlusion of C1-C2 vertebral artery. This case indicates that seizures are closely related to hunter′s bow syndrome.