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本文报告２１例基底动脉尖综合征（ＴＯＢ）的患者。ＴＯＢ是指基底动脉尖部２ｃｍ内所属７条动脉之一或一条动脉以上动脉闭塞所致的丘脑、中脑、枕叶或颞叶内侧面梗死所致的综合征。病因多为外来血栓栓塞，临床表现复杂多样。以眼球运动功能障碍和瞳孔异常及波动性意识障碍为特征性表现。ＣＴ有中脑、颞叶、丘脑枕叶等处合并或单独受损的征象，脑血管造影对确定某一支血管闭塞有重要意义。本文还对该病的发生机理和临床诊断进行了初探。
This article reports 21 patients with basilar tip syndrome (TOB). TOB refers to the basilar artery tip within 2cm belongs to one of the seven arteries or a arterial artery occlusion caused by the thalamus, midbrain, occipital or temporal lobe medial infarction caused by the syndrome. Most of the cause of external thromboembolism, complex and diverse clinical manifestations. Eye movement dysfunction and pupil abnormalities and fluctuating disturbance of consciousness as the characteristic manifestations. CT in the brain, temporal lobe, occipital lobe, etc. merged or singly damaged signs, cerebral angiography to determine a vessel occlusion of great significance. This article also on the pathogenesis and clinical diagnosis of the disease were explored.