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椎基底动脉延长扩张症的治疗体会 被引量：5

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摘要 椎基底动脉延长扩张症（vertebrobasilar dolichoectasia，VBD）由于异常扩张、迂曲的血管可直接压迫脐干、神经根、第三脑室后部引起相关症状，甚至引起血流动力学改变，形成血栓和微小栓塞，引起后循环缺血症状，部分患者可形成急性夹层动脉瘤，甚至引起蛛网膜下腔出血。VBD发病率相对较低，临床症状无特异性，容易漏诊、误诊，现将我科近6年收住的4例患者，报告如下：
作者 甄英伟 南阳 郭红宝 张亚辉 魏伟 岳树源 钟跃
机构地区 天津医科大学总医院神经外科
出处 《中华神经外科杂志》 CSCD 北大核心 2015年第7期716-718,共3页 Chinese Journal of Neurosurgery
基金 天津市应用基础与前沿技术研究计划（13JCQNJC10800、13JCZDJC31000）
关键词 椎基底动脉延长扩张症 急性夹层动脉瘤 蛛网膜下腔出血 治疗 三脑室后部 动力学改变 相关症状 缺血症状
分类号 R743 [医药卫生—神经病学与精神病学]
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参考文献11

  • 1Yuan YJ,Xu K,Luo Q,et al.Research progress on vertebrobasilar dolichoectasia[J].Int J Med Sci,2014,11 (10):1039-1048.
  • 2刘金有,唐广山,杨跃建,马林.椎基底动脉延长扩张症的影像学及临床研究进展[J].中华全科医学,2013,11(4):615-616. 被引量：8
  • 3吴曦,黄清海,杨鹏飞,洪波,许奕,赵文元,刘建民.血管内支架置入术治疗椎-基底动脉延长扩张症[J].中国脑血管病杂志,2010,7(7):350-353. 被引量：15
  • 4Noma N,Kobayashi A,Kamo H,et al.Trigeminal neuralgia due to vertebrobasilar dolichoectasia:Three case reports[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2009,108 (3):e50-e55.
  • 5Smoker WR,Price MJ,Keyes WD,et al.High-resolution computed tomography of the basilar artery:1.Normal size and position[J].AJNR Am J Neuroradiol,1986,7 (1):55-60.
  • 6Ince B,Petty GW,Brown RD Jr,et al.Dolichoectasia of the intracranial arteries in patients with first ischemic stroke:a population-based study[J].Neurology,1998,50 (6):1694-1698.
  • 7Wolters FJ,Rinkel GJ,Vergouwen MD.Clinical course and treatment of vertebrobasilar dolichoectasia:a systematic review of the literature[J].Neurol Res,2013,35 (2):131-137.
  • 8Kumral E,Kisabay A,Atac C,et al.The mechanism of ischemic stroke in patients with dolichoectatic basilar artery[J].Eur J Neurol,2005,12(6):437-444.
  • 9Zaidi HA,Awad AW,Chowdhry SA,et al.Microvascular decompression for hemifacial spasm secondary to vertebrobasilar dolichoectasia:surgical strategies,technical nuances and clinical outcomes[J].J Clin Neurosci,2015,22 (1):62-68.
  • 10Ma X,Sun X,Yao J,et al.Clinical analysis of trigeminal neuralgia caused by vertebrobasilar dolichoectasia[J].Neurosurg Rev,2013,36(4):573-577.

二级参考文献40

  • 1向子云,刘涛,詹勇.椎基底动脉延长扩张症的多层螺旋CT诊断[J].CT理论与应用研究（中英文）,2006,15(4):22-25. 被引量：6
  • 2Yu YL, Moseley IF, Pullicino P, et al. The clinical picture of ectasia of the intracerebral arteries [ J]. J Neurol Neurosurg Psychiatry, 1982,45 ( 1 ) :29-36.
  • 3Pico F, Labreuche J, Cohen A, et al. GENIC investigators. Intracranial arterial dolichoectasia is associated with enlarged descending thoracic aorta[ J ]. Neurology,2004, 63 ( 11 ) :2016-2021.
  • 4Pico F, Labreuche J, Touboul PJ, et al. GENIC Investigators. Intracranial arterial dolichoectasia and its relation with atherosclerosis and stroke subtype [ J ]. Neurology, 2003,61 (12) : 1736-1742.
  • 5Wolfe T, Ubogu EE, Fernandes-Filho JA, et al. Predictors of clinical outcome and mortality in vertebrobasilar dolichoectasia diagnosed by magnetic resonance angiography [ J ]. J Stroke Cerebrovasc Dis, 2008, 17 ( 6 ) : 388-393.
  • 6Smoker WR, Price M J, Keyes WD, et al. High-resolution computed tomography of the basilar artery: 1. Normal size and position[J]. AJNR Am J Neuroradiol, 1986,7 ( 1 ) :55-60.
  • 7Giang DW, Perlin SJ, Monajati A, et al. Vertebrobasilar dolichoectasia :assessment using MR[J].Neuroradiology, 1988,30(6) :518-523.
  • 8Passero SG, Rossi S. Natural history of vertebrobasilar dolichoectasia [ J ]. Neurology ,2008,70 ( 1 ) : 66-72.
  • 9Pico F, Labreuche J, Gourfinkel-An I, et al. GENIC Investigators. Basilar artery diameter and 5-year mortality in patients with stroke [ J ]. Stroke, 2006,37 ( 9 ) : 2342-2347.
  • 10Mount LA, Taveras JM. Ligation of basilar artery in treatment of an aneurysm at the basilar-artery bifurcation[ J ]. J Neurosurg, 1962,19 : 167-170.

共引文献20

同被引文献29

引证文献5

二级引证文献8

中华神经外科杂志
2015年 第7期

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