基底动脉尖综合征34例分析

Clinical and image features of top of the basilar syndrone

目的研究基底动脉尖综合征(TOBS)的临床与影像学特点。方法对34例TOBS的临床与影像学资料进行分析。结果TOBS主要临床表现为意识障碍,眼球运动障碍及瞳孔异常,可伴视觉障碍,偏盲,认知行为异常及小脑性共济失调等。头颅CT或MRI最其特征性改变为双侧丘脑对称性蝶形梗死灶,伴中脑、小脑、枕叶、颞叶梗死。结论TOBS诊断主要依靠临床及影像学表现,MRI诊断优于CT,早期综合治疗可提高生存率。

Objective To study the clinical arid inaage features of top of the basilar syndrone（TOBS）. Methods 34 patients with TOBS were analyzed on its clinical and imagine features. Results The major clinical features of TOBS were unconsciousness, dismovement of the eyeballs and abnormality of the pupils, as well as vision disorder, partial blindness,abnormality of cognition and dystrophy, cerebellum araxla and so on. The charaeterics of CT and MRI revealed butterfly infarction in both sides of thalami,infarctions were found in midbrain, cerebellum, occipital and temporal lobes also. Conclusions The diagnosis of ＇FOBS mainly depends on the clinical and image features. MRI was better than CT. Comprehensive treatment may improve the survival rate of patients with TOBS.