[1]张博刚,王国玲,彭敏,等.经永存舌下动脉介入治疗急性基底动脉闭塞1例[J].中国临床神经外科杂志,2024,29(09):574-576.[doi:10.13798/j.issn.1009-153X.2024.09.016]
　ZHANG Bo-gang,WANG Guo-qing,PENG Min,et al.A case of acute basilar artery occlusion treated with endovascular techniques via the persistent hypoglossal artery[J].,2024,29(09):574-576.[doi:10.13798/j.issn.1009-153X.2024.09.016]
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经永存舌下动脉介入治疗急性基底动脉闭塞1例()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年09期
页码:
574-576
栏目:
个案报道
出版日期:
2024-09-30

文章信息/Info

Title:
A case of acute basilar artery occlusion treated with endovascular techniques via the persistent hypoglossal artery
文章编号:
1009-153X（2024）09-0574-03
作者:
张博刚; 王国玲; 彭敏; 陈秀晓; 申晓平; 闫喜格
054000 河北，邢台市中心医院神经内科（张博刚、王国玲、彭　敏、陈秀晓、申晓平、闫喜格）
Author(s):
ZHANG Bo-gang;  WANG Guo-qing;  PENG Min;  CHEN Xiu-xiao;  SHEN Xiao-ping;  YAN Xi-ge
Department of Neurology, Xingtai Central Hospital, Xingtai 054000, China
关键词:
永存舌下动脉; 急性基底动脉闭塞; 血管内介入治疗
Keywords:
Acute basilar artery occlusion;  Persistent hypoglossal artery;  Endovascular intervention
分类号:
R 743; R 815.2
DOI:
10.13798/j.issn.1009-153X.2024.09.016
文献标志码:
B
摘要:
永存舌下动脉（PHA）是一种较为罕见的脑血管变异，常伴有椎动脉、Willis环发育不良，作为颈动脉-基底动脉吻合支，为后循环的主要血液供应途径。术中误栓PHA，可导致严重的后果。本院收治1例PHA合并基底动脉闭塞，经PHA进行介入治疗，术后症状改善出院。1月后门诊复查，生活可自理，改良Rankin量表评分1分。因此，PHA是一种罕见的颈动脉-椎基底动脉吻合，常伴随椎动脉发育不良，为后循环的主要血液供应途径，PHA的准确识别对于脑血管病介入治疗的安全性和识别特定类型的梗死非常重要。
Abstract:
Persistent hypoglossal artery (PHA) is a rare cerebrovascular anomaly, frequently associated with hypoplasia of the vertebral arteries and incomplete development of the circle of Willis. As a collateral branch of the carotid-basilar anastomosis, it serves as a critical blood supply route for the posterior circulation. Misidentification or inadvertent embolization of PHA during endovascular procedures can lead to severe neurological consequences. We report a case of acute basilar artery occlusion associated with PHA. The patient underwent successful endovascular intervention via PHA, resulting in significant clinical improvement and subsequent discharge. One month post-treatment, follow-up evaluation revealed that the patient had achieved functional independence, with a modified Rankin Scale (mRS) score of 1. Therefore, accurate identification of PHA is crucial for ensuring the safety and efficacy of cerebrovascular interventions. It also plays a vital role in diagnosing specific types of posterior circulation infarction. Given its rarity and potential impact on treatment outcomes, clinicians should be vigilant in recognizing this anatomical variation.

参考文献/References:

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备注/Memo

备注/Memo:
（2022-12-14收稿，2024-01-08修回）
基金项目：邢台市科技计划项目（2020ZC319）
通信作者：闫喜格，Email：xigeyan69@163.com
更新日期/Last Update: 2024-09-30