摘要
目的:分析颅外段椎动脉夹层的临床特点,以期提高诊断水平和处理方法。方法:分析3例误诊的颅外段椎动脉夹层动脉患者的临床资料,并结合文献复习进行总结和讨论。结果:本文与部分文献报告的共55例椎动脉夹层患者的主要临床表现:头颈部疼痛52.7%;眩晕36.4%,短暂性脑缺血发作(TIA)14.5%,耳鸣、听力下降9.1%,运动或感觉障碍7.3%,无症状者7.3%。结论:对于年龄30～50岁临床表现为中枢神经系统缺血症状,如眩晕、TIA甚至脑梗死,或以头痛为主诉的患者,应警惕椎动脉夹层的可能性。DSA、CTA、MRA可以帮助明确诊断,抗凝及介入手术是治疗椎动脉夹层的有效方法。
Aim：To analyze the clinical characteristics of the extracranial vertebral artery dissection（VAD）,and improve the technical levels on diagnosis and therapy.Methods：5 missed cases of the extracranial vertebral artery dissection and relevant literature were summarized and analyzed.Results：The clinical manifestations of 55 patients of VAD were summarized.It was concluded that the incidence of cervicodynia or headache was 52.7%,vertigo was 36.4%,TIA was 14.5%,tinnitus or the descent of audition was 9.1%,disorder of sensation or motion was 7.3%,and asymptomatic was 7.3%.Conclusion：Regarding the patient,30-50 years old,who complained of CNS ischemia,for instance vertigo,TIA,and even attacking infarction of brain,there is the possibility of VAD.DSA,CTA,MRA are helpful to the diagnosis.Anticoagulation and interventional surgery are effective therapy methods.
出处
《中国临床神经科学》
2011年第4期393-396,共4页
Chinese Journal of Clinical Neurosciences
关键词
椎动脉夹层
误诊
临床表现
vertebral artery dissection
misdiagnosis
clinical manifestations
