基底动脉开窗畸形临床表现及分析  

Manifestation and analysis of fenestrations of the basilar artery

作　　者：周红 陈芸 王辰龙 ZHOU Hong , CHEN Yun ,WANG Chenlong(Department of Neurology,the Civil Aviation General Hospital of Peking University ,Beijing 100123, China)

机构地区：[1]民航总医院神经内科,北京100123

出　　处：《中国实用神经疾病杂志》2018年第4期402-405,共4页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨基底动脉开窗畸形与缺血性脑血管病的关系。方法搜集民航总医院3 376例患者完善头颅血管影像学检查数据,统计基底动脉开窗畸形病例,并搜集头晕及脑干梗死病人的临床资料,完善头颅核磁平扫,对其进行统计学分析。结果共94例(2.8%)病人存在基底动脉开窗畸形,以头晕为主诉入院39例(41.5%),合并急性脑干梗死20例(21.3%)。高龄、男性、高血压、糖尿病及高脂血症均参与疾病的形成(P<0.05)。结论基底动脉开窗畸形发生率约为2.8%,临床表现多为头晕,严重者出现脑干梗死。Objective To investigate the relationship between fenestrations of the basilar artery （BA） and ischemic cerebro- vascular disease. Methods A total of 3376 magnetic resonance angiographies or computed tomography angiographies were collect- ed, and the data of chief complaints of dizziness or brainstern infarction which were confirmed by magnetic resonance imaging were collected. Results 94 fenestrations were found in 3376 cases （2.8%）. The complaints of dizziness were 39（41.5%）. 20 cases had diagnosis of acute brainstem infarction （21.3%. The elderly, male, hypertension, diabetes and hyperlipidemia were all involved in the formation of diseases （P〈0.05）. Conclusion The incidence of basilar artery fenestrations were 2.8%,dizziness may he the common clinical manifestation and this maybe the reason of brainstem infarction.

关 键 词：基底动脉开窗 血管畸形 缺血性脑血管病 头晕 脑干梗死 

分 类 号：R743.33[医药卫生—神经病学与精神病学]