中国临床医学2012，Vol.19Issue(3)：316-319,4.
以吞咽困难和言语含糊为表现的椎基底动脉延长扩张症2例报告及文献复习
Vertebrobasilar Dolichoectasia Presented with Dysphagia and Dysphonia: a Report of Two Cases
黄纯臣 1王钦 1马昱 1毛悦时 1刘骏桢 2张宇浩1
作者信息
- 1. 复旦大学附属中山医院神经内科,上海 200032
- 2. 复旦大学附属中山医院放射科,上海 200032
- 折叠
摘要
Abstract
Objective: To improve the understanding of vertebrobasilar dolichoectasia (VBD). Methods: The clinical features,imaging findings,diagnosis,treatment and follow-up data of two cases of VBD presented with dysphagia and dysphonia were analyzed retrospectively,and the literatures were reviewed. Results; As a cerebrovascular disease,the main characteristics of VBD were the marked elongation,widening and tortuosity of the intracranial vertebral and basilar arteries. The clinical manifestations of VBD included not only cerebral ischemia or hemorrhage of brainstem,subarachnoid hemorrhage,compression symptoms of brainstem and hydrocephalus,but also dysphagia and dysphonia. The diagnosis of VBD mostly depended on imaging examinations. The treatment of VBD was still unclear,and anticoagulation therapy might be effective for some patients,but the risk of bleeding must be noticed. Conclusion: The VBD mainly presenting with dysphagia and dysphonia is easily misdi-agnosed and missed. Enough attention should be payed to this type of VBD.关键词
椎基底动脉延长扩张症/吞咽困难/言语含糊/诊断/治疗Key words
Vertebrobasilar dolichoectasia/Dysphagia/Dysphonia/Diagnosis/Treatment分类
医药卫生引用本文复制引用
黄纯臣,王钦,马昱,毛悦时,刘骏桢,张宇浩..以吞咽困难和言语含糊为表现的椎基底动脉延长扩张症2例报告及文献复习[J].中国临床医学,2012,19(3):316-319,4.
