基底动脉尖部综合征临床及影像学研究

目的:探讨基底动脉尖综合征的临床及影像学特征。方法:对30例基底动脉尖综合征患者的临床及影像学资料进行综合分析。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症。影像学改变有多种形式,以枕叶、丘脑、脑干病灶为主。主要病因为栓塞及血栓形成。常见的危险因素有高血压、糖尿病、脑卒中、高血脂、冠心病、心房纤颤等。临床治疗,除对脑梗死治疗外,应注意并发症的治疗,本病愈后较差,病死率高。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。

A Clinic and Imageology Study on Top of Basilar Artery Syndrome

Objective:To investigate the clinic and imageology of characteristics of top of basilar artery syndrome.Methods: The clinic and imageology data of top of basilar artery syndrome in 30 patients were analysed. Results: Vertigo, bluring of vision, consciousness obstacle,eyeball dyskinesia,pupil abnormity,dyskinesia and dysesthesia were the most common symptom and sign.The imageology changes were various,the focus were mainly on lobus occipitah's,thalainencephalon and brain- stem.The etiology was embolism and cerebral thrombogenesis. Common dangerous factors were hypertension, diabetes , stroke, hyperlipemia , coronary heart disease, atrial fibrillation and so on. Care must be taken to treat the complications besides cerebral infarction. Prognosis of TOBS was unfavourable,and the rate of death was high. Conclusion: Top of basilar artery syndrome is various in clinic and imageology characteristics. The treatment result of the disease is not satisfactory and the prognosis is unfavourable.