掐颈后颈动脉夹层致急性脑梗死肢体偏瘫因果关系鉴定1例

Causal Relationship Identification of Acute Cerebral Infarction and Hemiparesis Caused by Cervical Artery Dissection After Neck Compression in 1 Case

该文通过分析1例掐颈后颈动脉夹层致急性脑梗死肢体偏瘫的病历资料、影像学资料,探讨周围血管损伤的病因,周围动脉瘤、创伤性颈部动脉夹层的成因、脑梗死的常见病因等,该研究认为在无自身动脉粥样硬化钙化和血管先天发育异常等因素及相关证据的前提下,掐颈后颈部软组织损伤与随后发生的右侧颈内动脉夹层、右侧脑梗死、目前后遗左侧偏瘫之间存在因果关系。

This article analyzes the medical records and image data of 1 case with acute cerebral infarction and hemiparesis caused by cervical artery dissection after neck compression,explores the etiology of peripheral vascular injury,the cause of peripheral artery aneurysms and traumatic cervical artery dissection,and common causes of cerebral infarction.It is concluded that there is a causal relationship between the soft tissue damage in the neck after compression and the subsequent right internal carotid artery dissection,right cerebral infarction and current residual left hemiparesis in the absence of evidence of underlying factors such as atherosclerosis calcification or vascular developmental abnormalities.