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作者介绍一例在颈总动脉与颅外颈1与颈2椎动脉之间行静脉搭桥术治疗椎动脉近端闭塞的病人,术后椎基动脉供血不足的症状治愈。病例:女性,58岁,曾因后循环(posteriorcir-culation)脑血管疾病发作入院,并作了下肢的血管重建术。既往有糖尿病史,因出现新的延髓外侧供血不足症状:发音困难,吞咽障碍,霍纳氏征和眩晕等而再次入院。体查有直立性意识丧失,平卧则意识水平迟钝,脑血管造影显示前循环(anterior circulation)大致正常,前循环与后循环之间的侧支循环甚差,并见右侧椎动脉远端闭塞,右椎动脉造影颅内循环无显
The authors describe a case of proximal vein occlusion between the common carotid artery and the extracranial neck 1 and cervical 2 vertebral artery for the treatment of patients with proximal vertebral artery occlusion, postoperative vertebral artery insufficiency symptoms were cured. Case: Female, 58 years old, admitted to hospital for a posteriorcir-culation cerebrovascular disease and underwent revascularization of the lower extremities. Previously had a history of diabetes mellitus, due to the emergence of new medulla oblongata symptoms: dysarthria, dysphagia, Horner’s sign and dizziness, etc. and re-admission. Physical examination showed loss of consciousness in the orthostatic state and unconsciousness in the supine position. Cerebral angiography showed that the anterior circulation was approximately normal, and the collateral circulation between the anterior circulation and the posterior circulation was very poor. See also the distal part of the right vertebral artery Occlusion, right vertebral artery angiography no significant intracranial circulation