椎-基底动脉延长扩张症压迫延髓及锥体束所致下肢行走启动困难一例报道并文献复习  

Difficulty of Start Walking Caused by Vertebrobasilar Dolichoectasia-induced Compression of Medulla Oblongata and Tractus Pyramidalis:a Case Report and Literature Review

作　　者：张双 张华[2] 李世强 任大为 史永梅[3] ZHANG Shuang;ZHANG Hua;LI Shiqiang;REN Dawei;SHI Yongmei(Beijing University of Chinese Medicine,Beijing 100029,China;Department of Neurology,Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China;Department of Brain Function Examination,Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学,北京市100029 [2]北京中医药大学东直门医院神经内科,北京市100700 [3]北京中医药大学东直门医院脑功能检查科,北京市100700

出　　处：《实用心脑肺血管病杂志》2019年第9期113-117,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：椎-基底动脉延长扩张症(VBD)是一种以基底动脉或椎动脉颅内段明显扩张、延长和迂曲为特征的血管变异性疾病,其于1761年由意大利解剖学家首次发现,后经SMORKER等定义为VBD并沿用至今,但其具体发病机制目前尚不完全明确。VBD临床表现多样,本文报道了1例VBD压迫延髓及锥体束所致下肢行走启动困难患者,并进行了文献复习,旨在提高临床对该病的认识。Vertebrobasilar dolichoectasia(VBD)is one kind of vascular variant diseases that characterized by obvious ectasia,elongation and tortuosity of basilar artery(BA)and intracranial segment of vertebral artery(VA),which was first described in 1761 by Italian anatomist and defined by SMOKER and his colleagues,but the specific pathogenesis of VBD is not yet very clear.Clinical manifestations of VBD are various,this paper report a patient with difficulty of start walking that caused by VBD-induced compression of medulla oblongata and tractus pyramidalis,and reviewed pertinent literatures,in order to improve the clinical understanding.

关 键 词：脑血管障碍 椎-基底动脉延长扩张症 锥体束 行走困难 病例报告 历史文献 

分 类 号：R743[医药卫生—神经病学与精神病学]