摘要
目的:探讨基底动脉尖综合征的诊断及误诊原因。方法:回顾性分析10例基底动脉尖综合征患者的临床表现及CT、MRI检查资料。结果:眩晕、呕吐起病9例,意识障碍8例,瞳孔不等大8例,眼外肌麻痹9例,不全或完全性偏瘫及偏身感觉障碍9例;CT或MRI发现后循环区多灶性脑梗死,误诊为脑出血6例。结论:基底动脉尖及其分支供血区域大,梗死后表现为多病灶症状,CT可除外出血病变,MRI是明确诊断的最佳检查方法。
Aim: To explore the diagnosis and misdiagnosis in the syndrome of bisilar artery top. Methods: To analyse the clinical findings CT and MRI in syndrome of basilar artery top retrospectively. Results: The early symptoms with vertigo and vomiting were 9 cases, disturbance conscious 8 cases,dissymmetrical pupils 8 cases, palsy of extro-ocular muscle 9 cases, finding multi-foci cerebral infarct at circulationg area in CT、MRI misdiagnosis cerebral haemorrhage 6 cases. Conclusion: When multi-foci symptoms were found after cerebral infarct and blood supply expanded, it could be diagnosed by CT,but using MRI could make accurate diagnosis,and it was the best way to examine.
出处
《中国临床神经科学》
2003年第2期173-174,共2页
Chinese Journal of Clinical Neurosciences
