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Двусторонняя окклюзия внутренних сонных артерий: клиническое наблюдение
Двусторонняя окклюзия внутренних сонных артерий: клиническое наблюдение
Губский И.Л., Логунова Т.А., Никогосова А.К. и др. Двусторонняя окклюзия внутренних сонных артерий: клиническое наблюдение. Consilium Medicum. 2016; 18 (9): 17–20. DOI: 10.26442/2075-1753_2016.9.17-20
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Аннотация
Двусторонняя окклюзия внутренних сонных артерий – относительно редкое состояние, характеризующееся, как правило, неблагоприятным прогнозом. Каждое новое наблюдение представляет интерес в свете формирования компенсаторных механизмов кровоснабжения головного мозга. В статье представлено наблюдение окклюзии обеих внутренних сонных артерий, сопровождающейся открытием трех анастомозов между бассейнами внутренней и наружной сонных артерий. Обсуждаются патологические процессы, приводящие к двусторонней окклюзии внутренних сонных артерий, описаны основные пути коллатерального кровообращения между бассейнами внутренней и наружной сонных артерий.
Ключевые слова: окклюзия внутренних сонных артерий, магнитно-резонансная томография, магнитно-резонансная ангиография.
Ключевые слова: окклюзия внутренних сонных артерий, магнитно-резонансная томография, магнитно-резонансная ангиография.
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Bilateral internal carotid artery occlusion is a relatively rare condition which is generally characterized with a poor prognosis. Each new case is of particular interest in relation to the activation of the compensatory mechanisms of cerebral blood flow. This article presents a case of bilateral internal carotid artery occlusion, accompanied by developing collaterals between the internal and external carotid arteries. The pathological processes leading to bilateral occlusion of the internal carotid arteries are discussed and the main ways of collateral circulation between the internal and external carotid arteries are described.
Key words: internal carotid artery occlusion, magnetic resonance imaging, magnetic resonance angiography.
Key words: internal carotid artery occlusion, magnetic resonance imaging, magnetic resonance angiography.
Полный текст
Список литературы
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3. Persoon S, Klijn CJ, Algra A et al. Bilateral carotid artery occlusion with transient or moderately disabling ischaemic stroke: clinical features and long-term outcome. J Neurol 2009; 256 (10): 1728–35.
4. Paraskevas KI, Mikhailidis DP, Liapis CD. Internal carotid artery occlusion: association with atherosclerotic disease in other arterial beds and vascular risk factors. Angiology 2007; 58 (3): 329–35.
5. Fujimura M, Tominaga T. Diagnosis of moyamoya disease: international standard and regional differences. Neurol Medico-Chirurgica 2015; 55 (3): 189–93.
6. Anand P, Mann SK, Fischbein NJ et al. Bilateral internal carotid artery occlusion associated with the antiphospholipid antibody syndrome. Case Reports Neurol 2014; 6 (1): 50–4.
7. Sakata T, Kario K, Katayama Y et al. Studies on congenital protein C deficiency in Japanese: prevalence, genetic analysis, and relevance to the onset of arterial occlusive diseases. Semin Thromb Hemost 2000; 26 (1): 11–6.
8. Abeloos L, Levivier M, Devriendt D et al. Internal carotid occlusion following gamma knife radiosurgery for cavernous sinus meningioma. Stereotact Funct Neurosurg 2007; 85 (6): 303–6.
9. Cothren CC, Moore EE. Blunt cerebrovascular injuries. Clinics 2005; 60 (6): 489–96.
10. Beckman JA, Creager MA, Libby P. Diabetes and atherosclerosis: epidemiology, pathophysiology, and management. JAMA 2002; 287 (19): 2570–81.
11. Rabinstein AA, Romano JG, Forteza AM et al. Rapidly progressive dementia due to bilateral internal carotid artery occlusion with infarction of the total length of the corpus callosum. Journal of neuroimaging: official J Am Soc Neuroimag 2004; 14 (2): 176–9.
12. Amin OS. Bilateral atherosclerotic internal carotid artery occlusion and recurrent ischaemic stroke. BMJ Case Rep 2015; 2015.
13. Chandra RV, Leslie-Mazwi TM, Oh D et al. Extracranial internal carotid artery stenosis as a cause of cortical subarachnoid hemorrhage. AJNR Am J Neuroradiol 2011; 32 (3): E51–2; author reply E53.
14. Caliskan E, Pekcevik Y, Polat B et al. Bilateral Internal Carotid Artery Occlusion as a Cause of Intraventricular Hemorrhage due to Pial Collateral Vessels. Turkish Neurosurg 2015; 25 (5): 808–10.
15. Liebeskind DS. Collateral circulation. Stroke; J Cerebral Circulation 2003; 34 (9): 2279–84.
16. Leliuk V.G., Leliuk S.E. Ul'trazvukovaia angiologiia. Real'noe vremia. M., 2003. [in Russian]
2. Mead GE, Wardlaw JM, Lewis SC et al. No evidence that severity of stroke in internal carotid occlusion is related to collateral arteries. J Neurol Neurosurg Psychiatry 2006;77 (6): 729–33.
3. Persoon S, Klijn CJ, Algra A et al. Bilateral carotid artery occlusion with transient or moderately disabling ischaemic stroke: clinical features and long-term outcome. J Neurol 2009; 256 (10): 1728–35.
4. Paraskevas KI, Mikhailidis DP, Liapis CD. Internal carotid artery occlusion: association with atherosclerotic disease in other arterial beds and vascular risk factors. Angiology 2007; 58 (3): 329–35.
5. Fujimura M, Tominaga T. Diagnosis of moyamoya disease: international standard and regional differences. Neurol Medico-Chirurgica 2015; 55 (3): 189–93.
6. Anand P, Mann SK, Fischbein NJ et al. Bilateral internal carotid artery occlusion associated with the antiphospholipid antibody syndrome. Case Reports Neurol 2014; 6 (1): 50–4.
7. Sakata T, Kario K, Katayama Y et al. Studies on congenital protein C deficiency in Japanese: prevalence, genetic analysis, and relevance to the onset of arterial occlusive diseases. Semin Thromb Hemost 2000; 26 (1): 11–6.
8. Abeloos L, Levivier M, Devriendt D et al. Internal carotid occlusion following gamma knife radiosurgery for cavernous sinus meningioma. Stereotact Funct Neurosurg 2007; 85 (6): 303–6.
9. Cothren CC, Moore EE. Blunt cerebrovascular injuries. Clinics 2005; 60 (6): 489–96.
10. Beckman JA, Creager MA, Libby P. Diabetes and atherosclerosis: epidemiology, pathophysiology, and management. JAMA 2002; 287 (19): 2570–81.
11. Rabinstein AA, Romano JG, Forteza AM et al. Rapidly progressive dementia due to bilateral internal carotid artery occlusion with infarction of the total length of the corpus callosum. Journal of neuroimaging: official J Am Soc Neuroimag 2004; 14 (2): 176–9.
12. Amin OS. Bilateral atherosclerotic internal carotid artery occlusion and recurrent ischaemic stroke. BMJ Case Rep 2015; 2015.
13. Chandra RV, Leslie-Mazwi TM, Oh D et al. Extracranial internal carotid artery stenosis as a cause of cortical subarachnoid hemorrhage. AJNR Am J Neuroradiol 2011; 32 (3): E51–2; author reply E53.
14. Caliskan E, Pekcevik Y, Polat B et al. Bilateral Internal Carotid Artery Occlusion as a Cause of Intraventricular Hemorrhage due to Pial Collateral Vessels. Turkish Neurosurg 2015; 25 (5): 808–10.
15. Liebeskind DS. Collateral circulation. Stroke; J Cerebral Circulation 2003; 34 (9): 2279–84.
16. Лелюк В.Г., Лелюк С.Э. Ультразвуковая ангиология. Реальное время. М., 2003. / Leliuk V.G., Leliuk S.E. Ul'trazvukovaia angiologiia. Real'noe vremia. M., 2003. [in Russian]
________________________________________________
2. Mead GE, Wardlaw JM, Lewis SC et al. No evidence that severity of stroke in internal carotid occlusion is related to collateral arteries. J Neurol Neurosurg Psychiatry 2006;77 (6): 729–33.
3. Persoon S, Klijn CJ, Algra A et al. Bilateral carotid artery occlusion with transient or moderately disabling ischaemic stroke: clinical features and long-term outcome. J Neurol 2009; 256 (10): 1728–35.
4. Paraskevas KI, Mikhailidis DP, Liapis CD. Internal carotid artery occlusion: association with atherosclerotic disease in other arterial beds and vascular risk factors. Angiology 2007; 58 (3): 329–35.
5. Fujimura M, Tominaga T. Diagnosis of moyamoya disease: international standard and regional differences. Neurol Medico-Chirurgica 2015; 55 (3): 189–93.
6. Anand P, Mann SK, Fischbein NJ et al. Bilateral internal carotid artery occlusion associated with the antiphospholipid antibody syndrome. Case Reports Neurol 2014; 6 (1): 50–4.
7. Sakata T, Kario K, Katayama Y et al. Studies on congenital protein C deficiency in Japanese: prevalence, genetic analysis, and relevance to the onset of arterial occlusive diseases. Semin Thromb Hemost 2000; 26 (1): 11–6.
8. Abeloos L, Levivier M, Devriendt D et al. Internal carotid occlusion following gamma knife radiosurgery for cavernous sinus meningioma. Stereotact Funct Neurosurg 2007; 85 (6): 303–6.
9. Cothren CC, Moore EE. Blunt cerebrovascular injuries. Clinics 2005; 60 (6): 489–96.
10. Beckman JA, Creager MA, Libby P. Diabetes and atherosclerosis: epidemiology, pathophysiology, and management. JAMA 2002; 287 (19): 2570–81.
11. Rabinstein AA, Romano JG, Forteza AM et al. Rapidly progressive dementia due to bilateral internal carotid artery occlusion with infarction of the total length of the corpus callosum. Journal of neuroimaging: official J Am Soc Neuroimag 2004; 14 (2): 176–9.
12. Amin OS. Bilateral atherosclerotic internal carotid artery occlusion and recurrent ischaemic stroke. BMJ Case Rep 2015; 2015.
13. Chandra RV, Leslie-Mazwi TM, Oh D et al. Extracranial internal carotid artery stenosis as a cause of cortical subarachnoid hemorrhage. AJNR Am J Neuroradiol 2011; 32 (3): E51–2; author reply E53.
14. Caliskan E, Pekcevik Y, Polat B et al. Bilateral Internal Carotid Artery Occlusion as a Cause of Intraventricular Hemorrhage due to Pial Collateral Vessels. Turkish Neurosurg 2015; 25 (5): 808–10.
15. Liebeskind DS. Collateral circulation. Stroke; J Cerebral Circulation 2003; 34 (9): 2279–84.
16. Leliuk V.G., Leliuk S.E. Ul'trazvukovaia angiologiia. Real'noe vremia. M., 2003. [in Russian]
Авторы
И.Л.Губский*1, Т.А.Логунова2, А.К.Никогосова1, Н.Н.Волкова3, И.А.Осиповская3, Г.Р.Черепанцев3, Л.И.Бубман3, И.Е.Тюрин2, Л.В.Губский1
1 ФГБОУ ВО Российский национальный исследовательский медицинский университет им. Н.И.Пирогова Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1;
2 ФГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России. 125993, Российская Федерация, Москва, ул. Баррикадная, д. 2/1;
3 ГБУЗ Госпиталь для ветеранов войн №3 Департамента здравоохранения г. Москвы. 129336, Россия, Москва, ул. Стартовая, д. 4
*shtangakun@gmail.com
1 ФГБОУ ВО Российский национальный исследовательский медицинский университет им. Н.И.Пирогова Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1;
2 ФГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России. 125993, Российская Федерация, Москва, ул. Баррикадная, д. 2/1;
3 ГБУЗ Госпиталь для ветеранов войн №3 Департамента здравоохранения г. Москвы. 129336, Россия, Москва, ул. Стартовая, д. 4
*shtangakun@gmail.com
________________________________________________
I.L.Gubskiy*1, Т.А.Logunova2, А.К.Nikogosova1, N.N.Volkova3, I.А.Osipovskaya3, G.R.Cherepantsev3, L.I.Bubman3, I.Е.Tyurin2, L.V.Gubskiy1
1 N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1;
2 Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation. 125993, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1;
3 Hospital for War Veterans №3 of the Department of Health of Moscow. 129336, Russian Federation, Moscow, ul. Startovaia, d. 4
*shtangakun@gmail.com
1 N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1;
2 Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation. 125993, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1;
3 Hospital for War Veterans №3 of the Department of Health of Moscow. 129336, Russian Federation, Moscow, ul. Startovaia, d. 4
*shtangakun@gmail.com
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