頸動脈形成異常に合併した先天性Ｈｏｒｎｅｒ症候群

• 大瀧 潮

  東京都立清瀬小児病院総合小児科

• 後藤 知英

  東京都立清瀬小児病院総合神経科

• 三山 佐保子

  東京都立清瀬小児病院総合小児科 東京都立清瀬小児病院総合神経科

書誌事項

タイトル別名

• Dysgenesis of the Carotid Artery Associated with Congenital Ipsilateral Horner Syndrome

抄録

We report a case with dysgenesis of the carotid artery associated with congenital Horner syndrome. A 6-year-old boy, who had undergone surgical repair for pulmonary atresia, ventricular septal defect, and patent ductus arteriosus at 20 months of age, presented with miosis of the left eye, and anhidrosis of the left face, neck, and shoulder girdle. Since the anhidrosis was obvious in early childhood, he was suspected as having congenital Horner syndrome. Cranial and cervical CT showed unpredicted abnormalities of the left carotid arteries, including the absence of an internal carotid artery (ICA), and hypoplasia of the common carotid and external carotid arteries. The anterior and middle cerebral arterial flow was supplied through the communicating arteries. Congenital agenesis of the ICA was highly suspected, because the left carotid canal could not be discerned at all. The concurrence of agenesis of ICA with ipsilateral Homer syndrome is accounted for by simultaneous organogenesis of the carotid artery and cervical sympathetic nerve, both of which are derived from neural crest cells. Developmental anomalies of the cervical neural crest, though rare, should be included in the differential diagnosis of congenital Horner syndrome.

収録刊行物

• 脳と発達

  脳と発達 39 (1), 63-65, 2007

  THE JAPANESE SOCIETY OF CHILD NEUROLOGY

キーワード

• 先天性Horner症候群
• 内頸動脈欠損
• 頸動脈管欠損
• 神経堤細胞
• 先天性心疾患

詳細情報

• CRID: 1390282679528945920
• NII論文ID: 130004183831
• NII論文ID: 10018714506
• NII書誌ID: AN0020232X
• DOI: 10.11251/ojjscn1969.39.63
• ISSN: 18847668
• ISSN: 00290831
• Web Site: https://search.jamas.or.jp/link/ui/2007118460
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可