基底动脉尖综合征11例临床分析

目的总结基底动脉尖综合征的临床特征。方法对本院1998年8月—2004年10月间在本院住院的11例病人的临床资料进行回顾分析。结果11例中眩晕、呕吐5例,Horner征4例,视觉障碍2例,幻觉2例,肢体瘫4例,睡眠倒错与去脑强直各1例。影像学检查显示基底动脉尖端5条血管供血区内多发梗死,平均每个患者病灶达3.4个。结论本病的特点为(1)起病急,进展快,常以眩晕、恶心、呕吐起病。(2)眼球运动障碍和瞳孔异常。(3)意识障碍。(4)视觉障碍、幻觉、睡眠倒错。

Clinical Analysis on 11 Patients with Top of Basilar Artery Syndrome

Objective To summarize the clinical features of top of basilar artery syndrome(TOBS).Methods The clinical data of 11 patients with TOBS,who were admitted to the hospital during August,1998 and October,2004,were etrospectively analyzed.Results Of the 11 patients,five suffered from vertigo and vomitting,four from Horner's sign,two from visual disorder,two from hallucination,four from limb paralysis,one from sleep reversal,and one from decerebrate rigidity.Imaging examination showed that multiple infarction existed in the area whose blood supply came from the five vessels belonging to top of basilar artery,with a average of three or four focuses per patients.Conclusion TOBS is characteristic of the following:(1) acute onset and fast progress with vertigo,nausea and vomitting,(2) disorder of ocular movement,(3) consciousness disorder,and(4) visual disorder,hallucination and sleep reversal.