摘要
观察了13例病人的脑血管造影,发现烟雾病的动脉狭窄不仅发生在颈内A和椎-基底A,也可发生在颈内A颈段和颈外A的颅内、外A。血管造影观察与病理组织变化结合,发现颞浅A和脑膜中A常表现一段或一支狭窄,另一段或一支扩张,未见狭窄的节段也有内膜增生。说明烟雾病的病变广泛存在,颞浅A、脑膜中A的血管造影改变应予重视。代偿扩张和侧枝A又发生狭窄,提示病变是反复发生的。
Cerebroangiogram of 13 patients with Moyamoyadisease were studied we found that the stenosis ofarteries not only in intracranial internal carotidarteries(ICA)and vertebor-basal arteries,but alsoin the cervical segments of ICA and the extra andintra-cranial branch of external carotid arteries.Com-bining with histopathologic changes we foundstenosis at one segment or one branch.and dilata-tion at another segment or branch of superficial tem-poral arteries(STA)and middle meningial arter-ies(MMA).In some segments although no stenosiswas observed by angiography.while there were in-timal porliferation.and thickening under histopatholo-gical observation.This study revealed that the pa-thologic changes of Moyamoya disease were existed at many arterial systems,the pathologic changesshowed it lasted for long times.
出处
《中华神经外科杂志》
CSCD
北大核心
1990年第3期173-175,共3页
Chinese Journal of Neurosurgery
