DOI QR코드

DOI QR Code

Carotid Artery Disease in Duplex Sonography: 3 Cases

이중초음파에서 관찰된 목동맥 질환: 3례

  • Han, Minho (Department of Neurology, Yonsei University Severance Hospital) ;
  • Choi, Junghye (Department of Neurology, Yonsei University Severance Hospital) ;
  • Seo, Gang Sik (Department of Neurology, Yonsei University Severance Hospital) ;
  • Nam, Hyo Suk (Department of Science for Aging, Yonsei University Graduate School)
  • 한민호 (연세의료원 세브란스병원 신경과) ;
  • 최정혜 (연세의료원 세브란스병원 신경과) ;
  • 서강식 (연세의료원 세브란스병원 신경과) ;
  • 남효석 (연세대학교 일반대학원 노화과학협동과정)
  • Received : 2018.10.31
  • Accepted : 2019.01.03
  • Published : 2019.03.31

Abstract

Duplex sonography has been used to non-invasively diagnose carotid artery disease and to follow up patients with this disease. In carotid artery disease, carotid mobile thrombus and dissection are rarely detected by duplex sonography in patients with cerebrovascular events. In particular, carotid dissection occurs when a small tear forms in the tunica intima and makes 2 lumens in the carotid artery, including true and false lumens. This study reports 3 rare cases of carotid mobile thrombus, spontaneous carotid dissection, and carotid dissection in Takayasu arteritis.

이중초음파는 비침습적으로 목동맥 질환을 진단하고 추적검사를 하는데 이용되고 있다. 목동맥 질환 중 유동성 혈전과 목동맥박리는 심혈관질환 환자에서 매우 드물게 관찰되는 증례이다. 특히, 목동맥박리는 혈관의 가장 안쪽 내막에 열상이 발생하여 일어나는데, 목동맥 안에 참속공간과 거짓속공간이라고 불리는 2개의 속공간이 관찰된다. 본 연구는 유동성 혈전, 자발성 목동맥박리 및 타카야수동맥염에서 관찰된 목동맥박리를 포함하여 임상에서 드물게 관찰되는 3 증례를 보고하고자 한다.

Keywords

References

  1. Han M, Jin BH, Nam HS. The role of duplex sonography in right subclavian double steal syndrome. J Korean Neurol Assoc. Korean J Clin Lab Sci. 2017;49:316-321. https://doi.org/10.15324/kjcls.2017.49.3.316
  2. Liu W, Lu S, Feng Y, Zhang Z, Liu P, Liu Z. Truth of floating carotid plaques. Front Neurol. 2017;8:673. https://doi.org/10.3389/fneur.2017.00673
  3. Townend BS, Traves L, Crimmins D. Bilateral spontaneous carotid artery dissection. J Clin Neurosci. 2005;12:592-594. https://doi.org/10.1016/j.jocn.2004.08.020
  4. Bae E, Vo TD. Carotid artery angioplasty and stenting for atherosclerotic plaque with mobile intimal flap. Ann Vasc Surg. 2018;49:310.
  5. Lee YH, Yang JH, Shon YM, Kim BS, Cho AH. A unique ultrasonographic finding of carotid thrombus in a patient with acute cardiogenic cerebral infarction. Korean J Stroke. 2012;14:156-159. https://doi.org/10.5853/kjs.2012.14.3.156
  6. Hwang YH. Usefulness of duplex ultrasound for the diagnosis of cervical artery dissection. Journal of Neurosonology. 2015;7:1-5.
  7. Benninger DH, Georgiadis D, Kremer C, Studer A, Nedeltchev K, Baumgartner RW. Mechanism of ischemic infarct in spontaneous carotid dissection. Stroke. 2004;35:482-485. https://doi.org/10.1161/01.STR.0000109766.27393.52
  8. de Bray JM, Baumgartner RW. History of spontaneous dissection of the cervical carotid artery. Arch Neurol. 2005;62:1168-1170. https://doi.org/10.1001/archneur.62.7.1168
  9. Bogousslavsky J, Despland PA, Regli F. Spontaneous carotid dissection with acute stroke. Arch Neurol. 1987;44:137-140. https://doi.org/10.1001/archneur.1987.00520140009010
  10. Leys D, Bandu L, Henon H, Lucas C, Mounier-Vehier F, Rondepierre P, et al. Clinical outcome in 287 consecutive young adults (15 to 45 years) with ischemic stroke. Neurology. 2002;59:26-33. https://doi.org/10.1212/WNL.59.1.26
  11. de Souza AW, de Carvalho JF. Diagnostic and classification criteria of Takayasu arteritis. J Autoimmun. 2014;48-49:79-83. https://doi.org/10.1016/j.jaut.2014.01.012
  12. Kerr GS, Hallahan CW, Giordano J, Leavitt RY, Fauci AS, Rottem M, et al. Takayasu arteritis. Ann Intern Med. 1994;120:919-929. https://doi.org/10.7326/0003-4819-120-11-199406010-00004
  13. Park YM, Cho KH. Takayasu's arteritis found by carotid Doppler sonography in patient with neck pain. Journal of Neurosonology. 2016;8:52-54.
  14. Maeda H, Handa N, Matsumoto M, Hougaku H, Ogawa S, Oku N, et al. Carotid lesions detected by B-mode ultrasonography in Takayasu's arteritis: "macaroni sign" as an indicator of the disease. Ultrasound Med Biol. 1991;17:695-701. https://doi.org/10.1016/0301-5629(91)90101-2

Cited by

  1. Clinical Usefulness of Common Carotid Artery Dissection in Carotid Ultrasound for the Diagnosis of Asymptomatic Aortic Dissection vol.38, pp.1, 2020, https://doi.org/10.17340/jkna.2020.1.15
  2. 이중초음파에서 드물게 관찰되는 목 부위의 혈관질환: 3례 vol.53, pp.1, 2019, https://doi.org/10.15324/kjcls.2021.53.1.131