基底动脉尖综合征临床与影像学特征分析

目的:探讨基底动脉尖综合征的临床及影像学特征。方法:回顾性分析15例基底动脉尖综合征患者的临床表现及CT、MRI检查资料。结果:眩晕、呕吐起病13例,意识障碍12例,瞳孔不等大12例,眼外肌麻痹13例.不全或完全性偏瘫及偏身感觉障碍13例。CT或MRI发现后循环区多灶性脑梗死。结论:基底动脉尖及其分支供血区域大,梗死后表现为多病灶症状,CT可除外出血病变.MRI是明确诊断的最佳检查方法。

Objective： To assess theclinical and neuroimage features of the top of the bisilarartery syndrome （TOBS） .Methods： To analysethe CT andMRI clinicalfindingsin the top of the bisilarartery syndrome retrospectively.Results ： The early symptoms with ventigo and vomiting were 13cases, disturbance consciousl2 cases, dissymmetrieal pupilsl2 cases, palsy of extre-ocular muscle 13 cases, finding muhi-foci cerebral infarct at circulationarca in CT, MRI.Conclusion ： When muhi-foci symptoms were found after cerebral infarct and blood supply expanded, it could be diagnosed by CT.but using MRI could make accurate diagnosis, and it was the best way to examine.