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目的探讨基底动脉尖综合征临床表现及诊治.方法回顾分析我院确诊的15例基底动脉尖综合征。结果基底动脉尖综合征的临床表现是以眼球运动障碍及瞳孔异常为主的中脑受损表现,同时还有意识障碍,枕叶,颞叶,丘脑,小脑梗死的表现。头MRI检查显示脑内多发部位的梗死灶,头颈CTA检查可发现病变血管。2例溶栓成功,2例死亡。余经治疗好转出院。结论结合临床表现,头MRI可确诊,早期溶栓效果好。
Objective To investigate the clinical manifestations and diagnosis and treatment of basilar artery syndrome.Methods A retrospective analysis of 15 cases of basilar artery syndrome diagnosed in our hospital. Results The clinical manifestations of basilar apical syndrome were midbrain damage mainly caused by oculomotor dyskinesia and pupillary abnormalities, as well as disturbance of consciousness, occipital lobe, temporal lobe, thalamus and cerebellar infarction. Head MRI examination showed multiple parts of the brain infarction, CTA examination of head and neck lesions can be found in blood vessels. 2 cases of successful thrombolysis, 2 patients died. I was discharged after treatment improved. Conclusion Combined with clinical manifestations, head MRI can be diagnosed, early thrombolytic effect is good.