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目的分析基底动脉尖综合征的临床特点、影像学改变及预后。方法分析36例基底动脉尖综合征患者临床及影像学资料。结果基底动脉尖综合征以中脑及丘脑病变多见,常合并小脑、枕叶、颞叶等其他部位的梗死,常以眩晕起病,伴有不同程度的意识障碍、眼球运动障碍和皮质盲等神经功能缺损。头颅MRI表现为幕上和幕下同时发生的两处及两处以上多发梗死灶。本组病例中,治愈+好转26例(72.2%),恶化6例(16.7%),死亡4例(11.1%)。结论基底动脉尖综合征起病凶险,预后差,临床表现较复杂,诊断主要依靠临床表现、体征和MRI的改变,需早期积极正规治疗。
Objective To analyze the clinical characteristics, imaging changes and prognosis of basilar artery syndrome. Methods Clinical and imaging data of 36 patients with basilar apical syndrome were analyzed. Results Basilar artery syndrome was more common in midbrain and thalamus, and often associated with cerebellar, occipital lobe, temporal lobe and other parts of the infarction, often with vertigo onset, accompanied by varying degrees of disturbance of consciousness, eye movement disorders and cortical blindness Other neurological deficits. Head MRI manifestations of the curtain and the curtain occurred at the same time more than two and more than multiple infarcts. In this group, 26 cases (72.2%) were cured and improved, 6 cases (16.7%) deteriorated, and 4 cases died (11.1%). Conclusion The diagnosis of basilar apical syndrome is dangerous, the prognosis is poor, and the clinical manifestations are complex. The diagnosis mainly depends on clinical manifestations, signs and changes of MRI.