METHODS: On October 7, 2023, an 81-year-old man was admitted to the hospital primarily for recurrent chest tightness and pain that had persisted for more than 2 years and 1 month. Cerebral angiography upon admission revealed significant blockage of the right VA and stenosis of the left vertebral arterial origin. Six days following admission, a drug-eluting stenting procedure was carried out under local anesthesia to open the left VA origin via the femoral artery. Following the procedure, the patient experienced a progressive loss of muscle strength in all 4 limbs and paraplegia below the cervical 3 spinal cord. One week following the procedure, the patient was released from the hospital. After the procedure, the patient was released 1 week later. After the procedure, the patient\'s symptoms persisted for a month.
CONCLUSIONS: High awareness for high cervical cord infarction is required when neck discomfort and limb weakness with progressive progression arises after surgery. Complications of high cervical cord infarction following stenting for stenosis of VA origin are uncommon in clinical settings. Patients\' prognoses can be improved by prompt diagnosis and care.
方法:2023年10月7日,一名81岁的男子因反复发作的胸闷和疼痛而入院,持续超过2年零1个月。入院时的脑血管造影显示右VA明显阻塞,左椎动脉起源狭窄。入院后六天,在局部麻醉下进行药物洗脱支架置入手术,通过股动脉打开左VA起点.按照程序,患者在所有4个肢体中都出现了肌肉力量的进行性丧失和颈3脊髓以下的截瘫。手术后一周,病人出院了。手术后,1周后患者出院.手术后,患者的症状持续了一个月。
结论:当手术后出现颈部不适和肢体无力并伴有进行性进展时,需要高度关注高颈索梗死。在临床上,由于VA起源的狭窄而置入支架后,高颈索梗塞的并发症并不常见。通过及时的诊断和护理可以改善患者的预后。