论文部分内容阅读
目的探讨后循环脑梗死的早期误诊原因。方法对17例早期误诊的急性后循环脑梗死患者的临床表现、体征、辅助检查及误诊疾病方面进行回顾分析。结果误诊为椎基底动脉供血不足11例,高血压脑病1例,梅尼埃病1例,脑炎1例,短暂性脑缺血发作1例,眼病1例,胶质瘤1例。结论为了避免误诊,应该对患者进行仔细的神经系统检查,结合影像学检查做全面综合的分析。对所有疑为后循环缺血的患者应进行神经影像学检查,尤其是头颅MRI检查。
Objective To investigate the causes of early misdiagnosis of posterior circulation cerebral infarction. Methods The clinical manifestations, signs, auxiliary examinations and misdiagnosis of 17 early misdiagnosed patients with acute posterior circulation cerebral infarction were retrospectively analyzed. Results Misdiagnosed as vertebrobasilar insufficiency in 11 cases, hypertensive encephalopathy in 1 case, Meniere’s disease in 1 case, encephalitis in 1 case, transient ischemic attack in 1 case, eye disease in 1 case, glioma in 1 case. Conclusion In order to avoid misdiagnosis, patients should be carefully examined with neurological examination and combined with imaging examination to conduct a comprehensive and comprehensive analysis. All patients suspected of posterior circulation ischemia should undergo neuroimaging, especially cranial MRI.