椎基底动脉延长扩张症与高血压
摘要
<正>椎基底动脉延长扩张症(vertebrobasilar dolichoectasia,VBD)是一种临床少见的动脉病,表现为椎基底动脉的扩张、迂曲和延长,是对一种病理改变的描述,可能是单一疾病,也可能是不同疾病的共同病理改变。该病的成因十分复杂,目前,还没有完整的病理生理机制描述。动脉壁发育异常的先天因素~[1-2]与动脉粥样硬化等多种后天危险因素~[3]共同作用,异常的动脉管壁在血管力学的作用下,出现血管的延长扩张。VBD临床表现多种多样
引文
[1] Gutierrez J,Sultan S,Bagci A,et al.Circle of willis configuration as a determinant of intracranial dolichoectasia[J].Cerebrovasc Dis,2013,36(5/6):446-453.
[2] Zdravkovic M,Kostov M,Petrovic S,et al.Dolichoectasia of vertebrobasilar arteries as a cause of hydrocephalus and ischemic cerebral stroke[J].Am J Forensic Med Pathol,2017,38(4):359-361.
[3] Pico F,Labreuche J,Amarenco P.Pathophysiology,presentation,prognosis,and management of intracranial arterial dolichoectasia[J].Lancet Neurol,2015,14(8):833-845.
[4] 林立建,谢良地.神经源性高血压[J].中华高血压杂志,2017,25(9):834-840.
[5] Morgagni G,De Sedibus.Causis morborum per anatomen indigatis libri quinque[M].Venice:Ex Typographia Remondiana,1761.
[6] Smoker WR,Corbett JJ,Gentry LR,et al.High-resolution computed tomography of the basilar artery:2.Vertebrobasilar dolichoectasia:clinical-pathologic correlation and review[J].AJNR Am J Neuroradiol,1986,7(1):61-72.
[7] Ikeda K,Nakamura Y,Hirayama T,et al.Cardiovascular risk and neuroradiological profiles in asymptomatic vertebrobasilar dolichoectasia[J].Cerebrovasc Dis,2010,30(1):23-28.
[8] Kumral E,Kisabay A,Atac C,et al.The mechanism of ischemic stroke in patients with dolichoectatic basilar artery[J].Eur J Neurol,2005,12(6):437-444.
[9] Nakamura Y,Hirayama T,Ikeda K.Clinicoradiologic features of vertebrobasilar dolichoectasia in stroke patients[J].J Stroke Cerebrovasc Dis,2012,21(1):5-10.
[10] Pico F,Labreuche J,Seilhean D,et al.Association of small-vessel disease with dilatative arteriopathy of the brain:neuropathologic evidence[J].Stroke,2007,38(4):1197-1202.
[11] Flemming KD,Wiebers DO,Brown RD,Jr.,et al.The natural history of radiographically defined vertebrobasilar nonsaccular intracranial aneurysms[J].Cerebrovasc Dis,2005,20(4):270-279.
[12] Dravert NE.Characteristics of cerebral hemodynamics in patients with the syndrome of vertebral artery[J].Zh Nevrol Psikhiatr Im S S Korsakova,2010,110(1):20-24.
[13] 韩金涛,乔惠婷,韩旭,等.椎基底动脉延长扩张症的计算流体力学分析[J].北京大学学报(医学版),2015,47(2):302-304.
[14] Passero SG,Rossi S.Natural history of vertebrobasilar dolichoectasia[J].Neurology,2008,70(1):66-72.
[15] Wolters FJ,Rinkel GJ,Vergouwen MD.Clinical course and treatment of vertebrobasilar dolichoectasia:a systematic review of the literature[J].Neurol Res,2013,35(2):131-137.
[16] 沈军,陆敬民,杨光,等.椎基底动脉延长扩张症的临床与MRA表现[J].中国全科医学,2014,12(3):445,459.
[17] Ubogu EE,Zaidat OO.Vertebrobasilar dolichoectasia diagnosed by magnetic resonance angiography and risk of stroke and death:a cohort study[J].J Neurol Neurosurg Psychiatry,2004,75(1):22-26.
[18] Shapiro M,Becske T,Riina HA,et al.Non-saccular vertebrobasilar aneurysms and dolichoectasia:A systematic literature review[J].J Neurointerv Surg,2014,6(5):389-393.
[19] F?rster A,Wenz R,Maros ME,et al.Anatomical distribution of cerebral microbleeds and intracerebral hemorrhage in vertebrobasilar dolichoectasia[J].PLoS One,2018,13(4):e0196149.
[20] Park JM,Koo JS,Kim BK,et al.Vertebrobasilar dolichoectasia as a risk factor for cerebral microbleeds[J].Eur J Neurol,2013,20(5):824-830.
[21] Songsaeng D,Srivatanakul K,Krings T,et al.Symptomatic spontaneous vertebrobasilar dissections in children:review of 29 consecutive cases[J].J Neurosurg Pediatr,2010,6(3):233-243.
[22] Segal R,Gendell HM,Canfield D,et al.Cardiovascular response to pulsatile pressure applied to ventrolateral medulla[J].Surg Forum,1979,30:433-435.
[23] 王庭俊,陈纯娴,谢良地,等.高血压与桥脑、延髓左侧受压[J].中华高血压杂志,2012,20(6):591-594.
[24] 孙洪涛,刁云锋,牛学刚,等.显微血管减压术治疗神经源性高血压38例并文献回顾[J].中华高血压杂志,2017,25(9):854-859.
[25] Jia Y,Wenhua W,Quanbin Z.A single microvascular decompression surgery cures a patient with trigeminal neuralgia,hemifacial spasm,tinnitus,hypertension,and paroxysmal supraventricular tachycardia caused by the compression of a vertebral artery[J].Neurol India,2013,61(1):73-75.
[26] Fujimoto T,Morofuji Y,Horie N,et al.One cause of secondary hypertension:neurogenic etiology[J].Circulation,2016,133(20):1985-1986.
[27] 翟少智,刘国荣,李梅,等.椎基底动脉延长扩张症临床分析及MR诊断价值[J].影像诊断与介入放射,2013,22(1):14-16.
[28] Legrady P,Voros E,Bajcsi D,et al.Neurovascular pulsatile compression and neurosurgical decompression of the rostral ventrolateral medulla in medically resistant hypertensive patients[J].Kidney Blood Press Res,2008,31(6):433-437.
[29] Legrady P,Voros E,Bajcsi D,et al.Observations of changes of blood pressure before and after neurosurgical decompression in hypertensive patients with different types of neurovascular compression of brain stem[J].Kidney Blood Press Res,2013,37(4/5):451-457.
[30] Samim M,Goldstein A,Schindler J,et al.Multimodality imaging of vertebrobasilar dolichoectasia:clinical presentations and imaging spectrum[J].Radiographics,2016,36(4):1129-1146.
[2] Zdravkovic M,Kostov M,Petrovic S,et al.Dolichoectasia of vertebrobasilar arteries as a cause of hydrocephalus and ischemic cerebral stroke[J].Am J Forensic Med Pathol,2017,38(4):359-361.
[3] Pico F,Labreuche J,Amarenco P.Pathophysiology,presentation,prognosis,and management of intracranial arterial dolichoectasia[J].Lancet Neurol,2015,14(8):833-845.
[4] 林立建,谢良地.神经源性高血压[J].中华高血压杂志,2017,25(9):834-840.
[5] Morgagni G,De Sedibus.Causis morborum per anatomen indigatis libri quinque[M].Venice:Ex Typographia Remondiana,1761.
[6] Smoker WR,Corbett JJ,Gentry LR,et al.High-resolution computed tomography of the basilar artery:2.Vertebrobasilar dolichoectasia:clinical-pathologic correlation and review[J].AJNR Am J Neuroradiol,1986,7(1):61-72.
[7] Ikeda K,Nakamura Y,Hirayama T,et al.Cardiovascular risk and neuroradiological profiles in asymptomatic vertebrobasilar dolichoectasia[J].Cerebrovasc Dis,2010,30(1):23-28.
[8] Kumral E,Kisabay A,Atac C,et al.The mechanism of ischemic stroke in patients with dolichoectatic basilar artery[J].Eur J Neurol,2005,12(6):437-444.
[9] Nakamura Y,Hirayama T,Ikeda K.Clinicoradiologic features of vertebrobasilar dolichoectasia in stroke patients[J].J Stroke Cerebrovasc Dis,2012,21(1):5-10.
[10] Pico F,Labreuche J,Seilhean D,et al.Association of small-vessel disease with dilatative arteriopathy of the brain:neuropathologic evidence[J].Stroke,2007,38(4):1197-1202.
[11] Flemming KD,Wiebers DO,Brown RD,Jr.,et al.The natural history of radiographically defined vertebrobasilar nonsaccular intracranial aneurysms[J].Cerebrovasc Dis,2005,20(4):270-279.
[12] Dravert NE.Characteristics of cerebral hemodynamics in patients with the syndrome of vertebral artery[J].Zh Nevrol Psikhiatr Im S S Korsakova,2010,110(1):20-24.
[13] 韩金涛,乔惠婷,韩旭,等.椎基底动脉延长扩张症的计算流体力学分析[J].北京大学学报(医学版),2015,47(2):302-304.
[14] Passero SG,Rossi S.Natural history of vertebrobasilar dolichoectasia[J].Neurology,2008,70(1):66-72.
[15] Wolters FJ,Rinkel GJ,Vergouwen MD.Clinical course and treatment of vertebrobasilar dolichoectasia:a systematic review of the literature[J].Neurol Res,2013,35(2):131-137.
[16] 沈军,陆敬民,杨光,等.椎基底动脉延长扩张症的临床与MRA表现[J].中国全科医学,2014,12(3):445,459.
[17] Ubogu EE,Zaidat OO.Vertebrobasilar dolichoectasia diagnosed by magnetic resonance angiography and risk of stroke and death:a cohort study[J].J Neurol Neurosurg Psychiatry,2004,75(1):22-26.
[18] Shapiro M,Becske T,Riina HA,et al.Non-saccular vertebrobasilar aneurysms and dolichoectasia:A systematic literature review[J].J Neurointerv Surg,2014,6(5):389-393.
[19] F?rster A,Wenz R,Maros ME,et al.Anatomical distribution of cerebral microbleeds and intracerebral hemorrhage in vertebrobasilar dolichoectasia[J].PLoS One,2018,13(4):e0196149.
[20] Park JM,Koo JS,Kim BK,et al.Vertebrobasilar dolichoectasia as a risk factor for cerebral microbleeds[J].Eur J Neurol,2013,20(5):824-830.
[21] Songsaeng D,Srivatanakul K,Krings T,et al.Symptomatic spontaneous vertebrobasilar dissections in children:review of 29 consecutive cases[J].J Neurosurg Pediatr,2010,6(3):233-243.
[22] Segal R,Gendell HM,Canfield D,et al.Cardiovascular response to pulsatile pressure applied to ventrolateral medulla[J].Surg Forum,1979,30:433-435.
[23] 王庭俊,陈纯娴,谢良地,等.高血压与桥脑、延髓左侧受压[J].中华高血压杂志,2012,20(6):591-594.
[24] 孙洪涛,刁云锋,牛学刚,等.显微血管减压术治疗神经源性高血压38例并文献回顾[J].中华高血压杂志,2017,25(9):854-859.
[25] Jia Y,Wenhua W,Quanbin Z.A single microvascular decompression surgery cures a patient with trigeminal neuralgia,hemifacial spasm,tinnitus,hypertension,and paroxysmal supraventricular tachycardia caused by the compression of a vertebral artery[J].Neurol India,2013,61(1):73-75.
[26] Fujimoto T,Morofuji Y,Horie N,et al.One cause of secondary hypertension:neurogenic etiology[J].Circulation,2016,133(20):1985-1986.
[27] 翟少智,刘国荣,李梅,等.椎基底动脉延长扩张症临床分析及MR诊断价值[J].影像诊断与介入放射,2013,22(1):14-16.
[28] Legrady P,Voros E,Bajcsi D,et al.Neurovascular pulsatile compression and neurosurgical decompression of the rostral ventrolateral medulla in medically resistant hypertensive patients[J].Kidney Blood Press Res,2008,31(6):433-437.
[29] Legrady P,Voros E,Bajcsi D,et al.Observations of changes of blood pressure before and after neurosurgical decompression in hypertensive patients with different types of neurovascular compression of brain stem[J].Kidney Blood Press Res,2013,37(4/5):451-457.
[30] Samim M,Goldstein A,Schindler J,et al.Multimodality imaging of vertebrobasilar dolichoectasia:clinical presentations and imaging spectrum[J].Radiographics,2016,36(4):1129-1146.