基底动脉尖综合症23例临床分析  

Clinical Study of Basilar Artery Syndrome in 23 Patients

作　　者：由丽娜 姜海东 王晓辉 刘明旭[2] 孙才[2] 

机构地区：[1]重庆市九龙坡区中医院,重庆九龙坡区400080 [2]大庆市人民医院,黑龙江大庆163316

出　　处：《昆明医科大学学报》2013年第7期66-68,共3页Journal of Kunming Medical University

基　　金：重庆市卫生局基金资助项目(2011-2-512)

摘　　要：目的探讨基底动脉尖综合征的诊断及治疗策略.方法对23例确诊为基底动脉尖综合症的病因、临床表现、影像学特征、治疗方法及预后等临床资料进行回顾性分析.结果 23例患者均为急性起病,临床表现为眩晕、呕吐11例,视物不清8例,意识障碍19例,肢体瘫痪11例.所有患者头颅影像学检查均发现多发性病灶.经各种方法治疗后治愈2例,显效8例,有效5例,恶化3例,死亡3例,自动出院2例.结论基底动脉尖综合征临床表现复杂多样,MRI成像有助于早期确诊,早期给予溶栓治疗可获得较好的效果.Objective To investigate the diagnosis and treatment of basilar artery syndrome.Methods Such clinical references as etiologic factors,clinical behaviors,imaging characters,therapeutic methods and prognosis of 23 patients diagnosed as basilar artery syndrome were retrospectively analyzed.Results All of the patients complained of acute onset and 11 cases of them were attended by dizziness and vomiting,8 cases by blurred vision,19 cases by disturbance of consciousness and 11 cases by limb paralysis.Multiple lesions were seen on the cerebral imaging examination in all patients.The most frequent symptoms were headache,focal deficits,epilepsy and the increase of CSF pressure.Of the 23 patients,2 recovered completely,13 realized improvement,3 were getting werse,3 died and 2 left hospital of their own accord.Conclusion Since there are multiple factors and complicated clinical conditions in basilar artery syndrome,MRI is helpful in the early diagnosis of the syndrome and the thrombolytic treatment at early stage may gain good therapeutic effect.

关 键 词：基底动脉尖综合征 诊断 治疗 

分 类 号：R743[医药卫生—神经病学与精神病学]