摘要
目的探讨基底动脉尖综合征的病因、临床表现、影像学改变及预后。方法对42例基底动脉尖综合征患者临床资料进行回顾性分析。结果基底动脉尖综合征以老年人多见,常以眩晕起病,伴有不同程度的意识障碍、眼位改变和偏瘫等神经功能缺损。头部核磁共振表现为幕上和幕下同时发生的两处以上的病灶,常以丘脑及中脑病变为多见,合并其他部位的梗死,如小脑、枕叶、颞叶等。其危险因素为高血压、糖尿病、高血脂、心房纤颤等。结论基底动脉尖综合征临床表现形式多样,诊断主要依靠核磁共振的改变,预后较差。
[Objective] To study the top of basilar syndrome （TOB） etiological factor clinical manifestation and imaging findings. [Methods] To analysis the clinical data of 42 cases. [Result] Most of the patients were old aged. The clinical manifestation comprised the sudden vertigo or unconsciousness with the dismovement of the eyeballs and the abnormality of the pupils, as well as the dyskinesia, partial blindness or cortical blindness and dystrophy. MRI shows there were more than two focus of infection in the up and down tentorium of cerebellum, the common focus was thalamus and midbrain, the affection was accompany with the other focus, such as cerebellum, occipital lobe, temporal lobe. The risk factor were hypertension, diabetes, hyperlipemia and atrial fibrillation. [Conclusion] The basilar artery syndrome has all kinds of clinical manifestation. The diagnosis depends on MRI, the prognosis was poor.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2007年第7期866-868,共3页
China Journal of Modern Medicine
