Clinical analysis of 63 patients with top of the basilar artery syndrome
- VernacularTitle:基底动脉尖综合征63例临床分析
- Author:
Jianling ZHENG
;
Yuehong CHEN
;
Alai ZHAN
;
Chaoxin WU
;
Zongzhong WU
- Publication Type:Journal Article
- Keywords:
Top of the basilar artery syndrome;
Cerebral infarction;
Imaging
- From:
Chinese Journal of Primary Medicine and Pharmacy
2006;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical and neuroimaging features of top of the basilar artery syndrome(TOBS).Methods The clinical and neuroimaging features of 63 cases with TOBS were analyzed retrospectively.Results Main causes of TOBS were atherosclerosis and embolisms.Vertigo and disturbance of consciousness and movement of the eye-ball,abnormality of pupils,partial blindness were the main clinical features.The most important imageologic feature of TOBS was infarction of thalami or midbrain,which was frequently complicating with infarction in other locations.Conclusion TOBS has simultaneously more than two infarction lesions,either superior or inferior tentorium of cerebellum with many complications and poor prognosis.MRI is more sensitive than CT.Early MRI examination,systemic and comprehansive treatment may improve the prognosis of the TOBS patients.