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目的研究基底动脉尖综合征(Top of the basilar artery syndrome,ROB)的病因、临床表现和影像学表现,加深对这种疾病的认识。方法笔者对自2000年以来收治的36例TOB患者的原始资料进行回顾性分析。结果 TOB患者以老年为主,病因及高危因素有高血压、糖尿病、心脏病、高血脂等,临床表现多以突然眩晕或意识障碍起病,合并眼球运动障碍及瞳孔异常、运动障碍、偏盲,可伴有行为异常等。CT及MRI提示重要的体征是中脑或丘脑梗死合并其他部位梗死,如枕叶、小脑、颞叶。结论 TOB的诊断主要依赖临床及影像表现,死因主要位脑疝,早期全面综合治疗可以提高生存率。
Objective To study the etiology, clinical manifestations and imaging manifestations of the Top of the basilar artery syndrome (ROB) and to deepen the understanding of this disease. Methods The author retrospectively analyzed the original data of 36 TOB patients who have been treated since 2000. Results TOB patients were mainly elderly patients. Their causes and risk factors were hypertension, diabetes, heart disease and hyperlipidemia. The clinical manifestations were mostly sudden vertigo or disturbance of consciousness, combined with dyskinesia of eyes and pupils, dyskinesia, hemianopia, May be accompanied by abnormal behavior. CT and MRI tips important signs of midbrain or thalamus infarction combined with infarction in other parts, such as occipital lobe, cerebellum, temporal lobe. Conclusion The diagnosis of TOB mainly depends on the clinical and imaging manifestations. The main cause of herniation is cerebral hernia. Early comprehensive and comprehensive treatment can improve the survival rate.