孤立性眩晕起病的后循环缺血性脑卒中患者临床分析

目的 探讨后循环缺血性脑卒中的患者中最初仅表现为孤立性眩晕的患者的临床特点.方法 回顾性分析阜新市中心医院2018-08—2019-08以孤立性眩晕起病的后循环缺血性脑卒中患者13例,对13例以孤立性眩晕起病的后循环缺血性脑卒中患者的危险因素、临床表现、磁共振特点及预后进行回顾性分析.结果 13例患者的发病危险因素主要...

Clinical analysis of patients with posterior circulation ischemic stroke with isolated vertigo

Objective To investigate the clinical characteristics of isolated vertigo in patients with posterior circulation ischemic stroke.Methods A retrospective analysis was conducted on 13 patients with posterior circulation ischemic stroke with isolated vertigo in Fuxin Central Hospital from August 2018 to August 2019.The risk factors,clinical manifestations,MRI features and prognosis of 13 patients with isolated vertigo were retrospectively analyzed.Results It was found that the main risk factors of 13 patients were diabetes,hypertension and cerebrovascular disease.Most of the patients had bad habits of smoking or drinking,and only one patient had no risk factors.All patients presented with dizziness or vertigo,with 69%of patients with typical rotational vertigo and 31%with non rotating vertigo(dizziness).The accompanying symptoms were vomiting and walking instability MRI was performed in 13 patients,including 8 patients with cerebellar infarction and brainstem infarction;13 patients were treated with dual antiplatelet therapy,intensive lipid-lowering therapy and improvement of cerebral blood supply,most of them had good prognosis;3 patients had progressive disease and poor prognosis,One case died.Conclusion Early diagnosis and early diagnosis of ischemic vertigo should be done early.