摘要基底动脉尖综合征（top of the basilar syndrome，TOBS）是脑梗死的一种特殊类型，该病起病急，病情进展迅速．临床表现多种多样，早期诊断困难。由于该病预后欠佳．国内报道病死率可达17％，故临床应引起高度重视。现对2008—2012年在我院经头颅MRI明确诊断的TOBS患者的临床资料进行回顾性分析．报告如下。
4Ortiz de Mendivil A, Alcala-Galiano A, Ochoa M, et al. Brainstem stroke: anatomy, clinical and radiological findings[J]. Semin Ultra- sound CT MR, 2013, 34:131-141.
6Caplan L."Top of the basilar"syndrome[J].Neurology,1980,1(30):72.
7Arnold M,Nedeltchev K.Clinical and radiological predictors of recanalisation and outcome of 40 patients with acute basilar artery occusion treated with intra-arterial thrombolysis[J].J Neurosurg Psychiaty,2004,6(75):857.
8Shinoharay Y,Minematsuk K.Modified Rankin scale with expanded guidance scheme and interview question naire:interrater agreement and reproducibility of assessment[J].Cerebrovasc Dis,2006,21(4):271.
9Uson-Martin M,Gracia-Naya M.Top of the basilar artery syndrome:clinico-radiological aspects of 25 patients[J].Rev Neurol,1999,28(7):698.
10Lee H,Baik SK.Infarct presenting with a combination of medial medullary and posterior inferior cerebella artery syndromes[J].J Neural Sci,2004,224(1/2):89.
