多模态影像评估颈内动脉夹层致重度狭窄后快速自发再通1例报道A Case Report of Multimodal Imaging Evaluation of Rapid Spontaneous Recanalization in Severe Stenosis Due to Internal Carotid Artery Dissection

颈内动脉夹层（internal carotid artery dissection，ICAD）是中青年缺血性卒中的重要病因。本文报道1例ICAD致重度狭窄后早期快速自发完全再通的少见病例。患者男性，57岁，因“头痛2天”入院。长途驾驶后出现双侧太阳穴胀痛，无明显神经系统局灶体征，既往偏头痛史30年。头颅MRI示散在腔隙性脑梗死灶。颈动脉彩色多普勒超声联合经颅彩色多普勒超声示右侧颈内动脉低速单峰频谱、眼动脉血流反向，提示远段近全闭塞及侧支开放。CTA示右侧颈内动脉C1段重度狭窄。入院第14天DSA显示右侧颈内动脉C2、C3段双腔征，确诊为ICAD。予阿司匹林、氯吡格雷双联抗血小板及阿托伐他汀治疗...

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Autore principale:	兰思锐，王海丽，徐格林，熊华花，赵莹莹，曹黎明，符鹏程LAN Sirui, WANG Haili, XU Gelin, XIONG Huahua, ZHAO Yingying, CAO Liming, FU Pengcheng
Natura:	Artigo
Lingua:	Chinês
Pubblicazione:	Editorial Department of Chinese Journal of Stroke 2026-08-01
Serie:	Zhongguo cuzhong zazhi
Soggetti:	颈内动脉夹层 动脉狭窄 彩色多普勒超声 计算机体层摄影血管造影 数字减影血管造影 internal carotid artery dissection arterial stenosis color doppler ultrasonography computed tomography angiography digital subtraction angiography
Accesso online:	https://www.chinastroke.org.cn/CN/10.3969/j.issn.1673-5765.2026.08.005
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