摘要
目的分析孤立性眩晕患者临床特点和脑血管造影表现。方法回顾性分析48例完成脑血管造影孤立性眩晕患者的临床资料。结果临床表现48例患者中,均出现眩晕症状,伴有恶心、呕吐12例,占25%,大汗6例,占12.5%,耳鸣2例,占4.2%,耳聋1例,占2.1%,视物模糊2例,占4.2%,凝视震颤12例,占25%,眼轴偏斜9例,占18.8%。脑血管造影发现椎动脉起始部狭窄6例,椎动脉起始部迂曲6例,椎动脉先天发良不良5例,一侧椎动脉闭塞1例,基底动脉狭窄5例,基底动脉扩张延长1例,头臂干或锁骨下动脉狭窄4例,颈动脉狭窄6例。后循环动脉共检出血管病灶部位28个,检出血管病灶阳性率为58.3%。结论对于反复发作的孤立性眩晕,有临床体征如凝视眼震、眼偏斜试验任何一项阳性,或者存在多重血管性危险因素的患者,尤其老年患者,应及早行脑血管造影,有助于提高血管源性眩晕诊断率,并给予针对性治疗,改善眩晕症状,降低脑卒中的发生率。
Objective To analyze the clinical characteristics and cerebral angiography of the patients with isolated vertigo. Methods Clinical data of 48 patients with isolated vertigo who received cerebral angiography were analyzed retrospectively. Results All 48 patients showed vertigo clinically. Among them, 12 patients showed nausea and vomit, accounting for 25%; 6 patients profuse sweating, 12.5%; 2 tinnitus, 4.2%; 1 deafness, 2.1%; 2 blurred vision, 4.2%; 12 fixation nystagmus, 25%; 9 eye axis deflection, 18.8%. Through cerebral angiography, 6 patients were diagnosed with vertebral artery stenosis; 6 vertebral artery coiling; 5 vertebral artery developmental anomaly; 1 unilateral vertebral artery occlusion; 5 basilar artery stenosis; 1 vertebrobasilar dolichoectasia; 4 brachiocephalic trunk and subclavian artery stenosis; 6 carotid artery stenosis. 28 vascular lesions were detected in posterior circulation artery, and the positive rate was 58.3%. Conclusion For patients with recurrent isolated vertigo, patients with any positive clinical symptoms like fixation nystagrnus and eye deflection, or patients with multiple vascular risks, especially for elderly patients, cerebral angiography should be carried out for them as soon as possible. This will be helpful for improving the diagnostic rate of vasogenic vertigo and providing symptom-oriented treatment, so as to alleviate vertigo and lower the incidence of cereal apoplexy.
出处
《中国医药科学》
2014年第10期187-189,共3页
China Medicine And Pharmacy
关键词
孤立性眩晕
临床特点
脑血管造影
Isolated vertigo
Clinical characteristics
Cerebral angiography
