基底动脉尖综合征21例临床分析

Clinical analysis of 21 patients with top of the basilar artery syndrome

目的 探讨基底动脉尖综合征的临床和影像学特征,提高基底动脉尖综合征诊疗水平.方法 对21例基底动脉尖综合征的临床资料进行回顾性分析.结果 多急性或亚急性起病,首发症状以眩晕最常见,意识障碍发生率较高,眼球运动障碍和瞳孔异常为核心症状.影像学改变病灶以中脑和丘脑为主,并且多个病灶同时存在.结论 基底动脉尖综合征的临床和影像学改变复杂多样,只有掌握其特征,提高对基底动脉尖综合征的认识,才能早期诊断,规范治疗,改善预后.

Objective To investigate the clinical manifestation characteristics of imaging,increase the diagnosis and treatment level of top of the basilar artery syndrome（TOBS）. Methods Retrospective analysis of 21 clinical data with TOBS was carried out. Results More of cases were acute or subacute onset, the most common initial symptoms of vertigo, the clinical manifestation comprised unconsciousness, dismovement of the eyeballs and abnormality of the pupils. Imaging showed the feature of the TOBS was infarction in both sides of the midbrain and thalamencephalon, and multiple lesions exist. Conclusion The clinical manifestation of.TOBS were diverse, and only by grasping the characteristics of the TOBS raising awareness ,early diagnosis,standardized treatment and improving prognosis would be possibe.