A case of progressively aortogenous cerebral embolism
10.3760/cma.j.cn113694-20230327-00244
- VernacularTitle:进展性主动脉源性脑栓塞1例
- Author:
Zhiyong FU
1
;
Heng WEI
;
Xin MA
Author Information
1. 首都医科大学宣武医院神经内科 首都医科大学心脑联合病变临床诊疗与研究中心 国家老年疾病临床医学研究中心，北京100053
- Keywords:
Aortic atheroma;
Aortogenous cerebral embolism;
Complex aortic plaque;
Progressively
- From:
Chinese Journal of Neurology
2023;56(10):1184-1188
- CountryChina
- Language:Chinese
-
Abstract:
Aortic atheroma is not only a sign of systemic atherosclerosis, but also an important embolus source of cerebral embolism. While relatively more attention is paid to complex aortic plaque (CAP), which refers to aortic plaque with a thickness of 4 mm or more, ulceration, or mobile components, clinical manifestations of CAP related cerebral embolism has not been properly investigated. This paper reports a case of aortogenous cerebral embolism attributed to CAP with the main clinical symptoms of slow response, auditory hallucination and dysphagia, and the course in the form of advancing stepwisely with multiple symptoms cumulation. The imaging characteristics, clinical manifestations, diagnosis and treatment of the patient are analyzed in combination with the literatures, through which hoping to improve the understanding, diagnosis and treatment of CAP related cerebral embolism for clinicians.
