Relationship between lesion location and onset symptoms of cerebral infarction caused by acute basilar arterial occlusion
10.16571/j.cnki.1008-8199.2017.05.012
- VernacularTitle:急性基底动脉闭塞所致脑梗死的起病特征与病变部位的相关性
- Author:
Ming WANG
;
Qin YIN
;
Min LI
;
Jie GAO
;
Mengjie LIN
;
Nana ZHAO
;
Minmin MA
- Keywords:
Basilar artery occlusion;
Cerebral infarction;
Onset;
Lesion location
- From:
Journal of Medical Postgraduates
2017;30(5):508-511
- CountryChina
- Language:Chinese
-
Abstract:
Objective The clinical manifestations of cerebral infarction caused by acute basilar arterial occlusion are complex.The purpose of this study is to explore the relationship between lesion location and onset symptoms of cerebral infarction caused by acute basilar arterial occlusion.Methods Fifty three patients diagnosed with cerebral infarction caused by acute artery occlusion were collected from Nanjing Stroke Registry.They were hospitalized in Jinling Hospital from January 2007 to July 2016 and were divided into sudden onset group and progressive onset group.Their clinical and digital subtraction angiography data were analyzed retrospectively.Results Middle and distal segment of the basilar artery occlusions were usually found in sudden onset group.Patients in progressive onset group were more likely to present with proximal segment of the basilar artery occlusions.Significant statistical difference was found between two groups (P<0.05).Logistic regression analysis showed that the symptoms of patients with proximal segment basilar artery occlusion tended to be progressive onset, compared with patients affected by distal segment occlusion (OR=14.77,95%CI:1.57-139.00, P=0.019).Conclusion There was significant relationship between lesion location and onset symptoms of cerebral infarction caused by acute basilar arterial occlusion.Early diagnosis and timely treatment may improve clinical prognosis in patients.
