基底动脉尖综合征的临床特点

Clinical characteristics of basilar artery syndrome

目的探讨基底动脉尖综合征的临床表现及影像学特点。方法回顾性分析32例急性基底动脉尖综合征患者的临床资料。结果 32例患者均为急性起病,临床表现为眩晕、呕吐12例,视物不清3例,言语不清14例,意识障碍16例,肢体瘫痪14例,行走不稳5例,起病时仅感头痛、呕吐1例。所有患者头颅影像学检查均发现多发性病灶。结论基底动脉尖综合征临床表现复杂多样,瘫痪程度较轻,MRI成像有助于早期确诊。

Objective To investigate the clinical manifestations and imaging characteristics of the basilar artery syndrome. Methods A retrospective analysis of 32 cases with acute basilar artery syndrome was made. Results The patients were all acute onset with dizziness and vomiting in 12 cases,blurred vision in 3 cases, slurred speech in 14 cases, disturbance of consciousness in 16 cases, limb paralysis in 14 case, unsteady gait in 5 cases, and headache and vomiting in 1 case. Multiple lesions were seen on the cerebral imagings in all patients. Conclusion The clinical manifestations of the basilar artery syndrome are veriable and complex with mild paralysis. MRI is helpful in the early diagnosis of the basilar artery syndrome.