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目的探讨基底动脉尖综合征的临床特点及影像学特征。方法对13例基底动脉尖综合征患者进行回顾分析。结果首发症状以眩晕(8例,61.3%)最常见。意识障碍、眼球运动障碍、瞳孔异常、运动及感觉异常、偏盲、共济失调等是常见的症状及体征。影像学改变有多种形式,以丘脑、脑干、枕叶病灶为主,并且多个病灶同时存在。主要病因可能是栓塞和血栓形成。临床治疗困难,预后差。结论基底动脉尖综合征有复杂多样的临床及影像学改变,且治疗效果不好,预后不佳。
Objective To investigate the clinical features and imaging features of basilar artery syndrome. Methods Thirteen patients with basilar apical syndrome were retrospectively analyzed. Results The first symptom of dizziness (8 cases, 61.3%) was the most common. Disorders of consciousness, eye movement disorders, pupillary abnormalities, motor and sensory abnormalities, hemianopsia, ataxia are common symptoms and signs. Imaging changes in many forms, mainly to the thalamus, brainstem, occipital lesions, and multiple lesions co-exist. The main cause may be embolism and thrombosis. Clinical treatment is difficult, the prognosis is poor. Conclusions The basilar artery syndrome has complex and diverse clinical and imaging changes, and the curative effect is not good and the prognosis is poor.