基底动脉尖综合征7O例临床分析  

Clinical analysis of 70 patients with top of the basilar artery syndrome

作　　者：范佳[1] 刘群[1] 刘忠岩[1] 包雪鹦[1] 辛芳 

机构地区：[1]吉林大学第一医院神经内科,吉林长舂130021 [2]长春市朝阳区清河卫生院,吉林长春130000

出　　处：《中风与神经疾病杂志》2002年第6期353-355,共3页Journal of Apoplexy and Nervous Diseases

摘　　要：目的 研究基底动脉尖综合征(Top of the basilar arrtery syndrome,TOB)的病因、临床表现和影像学表现,加深对这种疾病的认识。方法 我们对自1994年以来收治的70例TOB患者的原始资料进行回顾性分析。结果 TOB患者以中老年为主,病因及高危因素有高血压、糖尿病、心脏病、高血脂等,临床表现多以突然眩晕或意识障碍起病,合并眼球运动障碍及瞳孔异常、运动障碍,偏盲,可伴有行为异常等。CT及MRI提示重要的特征是中脑或丘脑梗死合并其他部位梗死,如枕叶、小脑、颞叶。结论 TOB的诊断主要依赖临床及影像学表现,死因主要为脑疝,早期全面综合治疗可以提高生存率。Objective To study top of the basilar artery syndrome (TOB) etiological factor, clinical manifes tation and imaging findings. Methods The clinical data of 70 cases of our hospital from 1994 till nowwere analyzed. Results Most of the cases were middle or old aged. The etiological and high risk factors included hypertension, diabetes, heart disease, hypercholesterol, and so on. The clinical manifestation comprised the sudden vertigo or unconsciousness with the dismovement of the eyeballs and the abnormality of the pupils, as well as the dyskine-sia, partial blindness or cortical blindness and dystropy. CT and MRI showed that the most important pathological festures of TOB was infarction in both sides of thaiami and midbrain and/or in cellebellum, occipital and temporal lobes. Conclusion Our diagnose TOB mainly depends on the clinical manifestation and imaging tests. Systemic and comprehensive treament may improve the survival rate of the TOB patients.

关 键 词：基底动脉尖综合征 脑梗死 磁共振成像 TOB 病因 临床表现 影像学表现 

分 类 号：R743[医药卫生—神经病学与精神病学]