基底动脉尖综合征36例临床预后分析

Clinical analysis of prognosis of 36 patients with top of basilar syndrome

目的:探讨基底动脉尖综合征的病因、临床特征、影像学改变及治疗预后。方法:对36例患者的病例资料进行回顾性分析。结果:临床表现多种多样,脑栓塞是其主要病因,早期诊断MRI优于CT。结论:基底动脉尖综合症是一种特殊类型的脑血管疾病。该病预后差,病死率高,致残率高,早期全面综合治疗可提高生存率。

Objective：To study the etiological factors, clinical manifestations, imaging findings, diagnosis and prognosis of top of basilar syndrome （ TOBS） . Methods：The clinical firsthand data of 36 cases were retrospectively analyzed. Results：The major etiol-ogy was cerebral embolism. The clinical symptoms were varied. MRI was superior to CT in diagnosing early lesions with TOBS. Con-clusions：TOBS has the worse prognosis, high fatality and disability. It is a special type of cerebrovascular disease. Early comprehen-sive treatment may improve the survival rate.