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目的 探讨基底动脉尖综合征的临床及影像学特征。方法 对 15例基底动脉尖综合征患者进行回顾分析。结果 眩晕、视物模糊、意识障碍、眼球运动障碍、瞳孔异常、运动及感觉异常是最常见的症状及体征。影像学改变有多种形式 ,以枕叶、丘脑、脑干病灶为主。主要病因可能是栓塞和血栓形成。常见的危险因素有高血压病、吸烟、糖尿病、脑卒中、高血脂、心房纤颤等。临床治疗困难 ,预后差。结论 基底动脉尖综合征有多种多样的临床及影像学改变 ,且治疗效果不好 ,预后不佳。
Objective To investigate the clinical and imaging features of basilar artery syndrome. Methods Fifteen patients with basilar apical syndrome were retrospectively analyzed. Results dizziness, blurred vision, disturbance of consciousness, eye movement disorders, pupillary abnormalities, motor and sensory abnormalities are the most common symptoms and signs. Imaging changes in many forms, mainly occipital lobe, thalamus, brain stem lesions. The main cause may be embolism and thrombosis. Common risk factors are hypertension, smoking, diabetes, stroke, hyperlipidemia, atrial fibrillation and so on. Clinical treatment is difficult, the prognosis is poor. Conclusion There are many clinical and imaging changes of basilar artery syndrome, and the curative effect is not good and the prognosis is poor.