Cerebral vascular length can also cause stroke?See how brain experts can support
Author:Hunan Medical Chat Time:2022.09.20
The 58 -year -old Mr. Zhao (pseudonym) was diagnosed in many hospitals because of dizziness, and the doctor told him that a blood vessels in his head were crooked and causing cerebral ischemia. If you can cause cerebral infarction or cerebral hemorrhage.
Mr. Zhao was anxious, and he came to Hunan Provincial Brain Hospital (the Second People's Hospital of Hunan Province) for treatment.
Hunan Provincial Hospital (Hunan Province Second People's Hospital) cerebral vascular neurosurgery Liu Kun was diagnosed and found that his blood vessels were indeed long and crooked. The arteriosclerosis, extension, and distortion of arteries, which are characterized by vertebral arterial arteries. Some patients have no clinical symptoms. Many people are discovered after the head vascular imaging examination. , Dizziness and even coma, once some symptoms occur, will significantly affect the quality of life or even death.
After the inquiry, it was found that during the treatment of drugs, there was a repeated occurrence of ischemia. Further magnetic resonance examination found that there was hematoma formation in the long crooked blood vessel wall. The risk of cerebral infarction and cerebral hemorrhage was high, the treatment was difficult, and the risk was high.
Figure above: A: Normal blood vessels B: Distanitarian extension of the vertebrae
Above: The labeling position of the red circle is the patient's abnormal blood vessels
Mr. Zhao urgently hoped to solve his "encephalopathy", so Director Liu Kun's team had intravascular treatment of him. By putting the stent in the blood vessels, rebuilding the blood vessels, reducing his pulling blood vessels, improving the arterial blood supply , Reduce the risk of cerebral ischemia and cerebral hemorrhage.
His dizziness was improved after the operation, the review of various indicators was normal, and the psychological pressure was significantly relieved. He was out of the hospital 3 days after the operation.
Director Liu Kun introduced that the incidence of extension of vertebrae arteries in the overall population is 0.06%to 5.8%. The causes of the onset are unconventional, and there are many clinical manifestations, including cerebral infarction, intracranial hemorrhage, and surrounding structured symptoms. Stroke is the most important cause of the disease, with a mortality rate of about 12%.
At present, the development of neurological intervention technology is rapid. It can improve the expansion and deformation of vertebral base arteries to a certain extent through intravascular intervention therapy, and improve its prognosis and reduce the occurrence of stroke.
Stroke is the first reason for the death and disability of residents of our country. Effectively preventing and controlling strokes is of great significance to achieve a strategic goal of achieving healthy China and reducing the poor people in our country. Although neurological intervention treatment is a minimally invasive treatment method, there are still certain risks. We must weigh the advantages and disadvantages. Individualized treatment methods must be selected. Postoperative follow -up needs to be standardized to ensure the effect of long -term treatment.
(Edit ZS. Picture source network, invading deletion)
Special Author of Hunan Medical Chat: Hunan Provincial Brain Hospital (Hunan Second People's Hospital) Cerebral Vascular and Neurosurgery Huang Hao
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