以孤立性眩晕为首发症状的急性脑梗死患者10例

Clinical study of acute cerebral infarction with isolated vertigo as the first symptom

目的探讨以孤立性眩晕为首发症状的急性脑梗死(ACI)的特点及溶栓治疗预后。方法对10例以孤立性眩晕起病,诊断为ACI并进行溶栓治疗患者,分析包括临床表现、影像学特征、病因分型、预后等临床资料。结果所有患者均有孤立性眩晕出现,时间长短不一。超早期给予溶栓治疗,有9例预后较好,1例因急性心肌梗死死亡。结论孤立性眩晕患者要警惕后循环卒中,早期发现其他神经功能缺损体征并给予溶栓治疗,效果较好。

Objective To investigate the clinical characteristic and prognosis of thrombolysis for acute cerebral infarction(ACI) with isolated vertigo as the first symptom. Method Analysis of 10 patients with isolated vertigo were diagnosed as ACI and treated with thrombolysis. Clinical data include clinical manifestation, imaging characteristics, etiology and prognosis. Results All patients had isolated vertigo varied with time. Nine patients were cured, one patient died of acute myocardial infarction. Conclusion Patients with isolated vertigo should be alert to postcirculatory stroke. Early detection of other signs of nerve function defects and the effect is good in thrombolytic therapy.