Neurology:TIPIC综合征一例

2017-11-18 杨中华 脑血管病及重症文献导读

TIPIC综合征是一种新近被认识的综合征,以前被诊断为颈动脉痛,在颈动脉分叉水平影像学特征符合短暂周围血管炎症。其病理生理学尚不清楚。抗炎药物能够促进临床快速完全恢复。

31岁,女性,表现为左侧急性颈部疼痛。

颈部影像显示颈动脉周围炎症(下图)。B超(图A和B)以及彩色多普勒(图C)以及轴位增强MRI T1显示围绕左侧颈动脉分叉部位的软组织偏心强化,管腔轻度变窄,无血流动力学改变:









诊断为颈动脉短暂性周围血管炎症(TIPIC)综合征。

开始给予激素治疗,12天后症状完全恢复。

随访超声显示周围血管炎症明显减轻(下图),进一步确认了诊断。下图,随访B超(A图)和彩色多普勒(图B)显示血管周围炎症明显减轻:





TIPIC综合征是一种新近被认识的综合征,以前被诊断为颈动脉痛,在颈动脉分叉水平影像学特征符合短暂周围血管炎症。其病理生理学尚不清楚。抗炎药物能够促进临床快速完全恢复。

原始出处:
Augustin Lecler, et al. TIPIC syndrome.Neurology, Oct 2017.

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