基底动脉尖综合征的分析

Clinical Analysis of Top of The Basilar Artery Syndrome

目的研究基底动脉尖综合征的病因、临床特征、影像学表现及治疗预后,提高对该疾病的认识。方法对2000～2004年收治的15例TOBS患者的临床表现及影像学资料等原始资料进行回顾性分析。结果TOBS患者以中老年为主,主要危险因素是高血压,其次是高脂血症,脑栓塞是其主要病因,临床核心症状是意识障碍、眼球运动障碍和瞳孔改变。结论CT和MRI是诊断TOBS的主要检查手段,MRI在早期诊断方面优于CT。TOBS预后较差,致残率较高,早期全面综合治疗可提高生存率。

Objective To study top of the basilar artery syndrome TOBS etiological factor clinical manifestation imaging findings and prognosis for improving recognition of TOBS. Methods The clinical firsthand data of 15 cases of our hospital from 2000 to 2004 were analyzed. Results Most of the cases were middle or old aged. The high risk factors of TOBS was hypertension secondly hypercholesterol. The major etiology was cerebral embolism. The core of clinical symptoms were conscious obstruction dismovement of eyeballs and abnormality of the pupils. Conclusions CT and MRI were one of the most important methods to diagnose TOBS. MRI was superior to CT in detectiong early lesions with TOBS. TOBS was worse prognosis and high disability. Systemic and comprehensive treatment may improve the survival rate of the patients with TOBS.