临床神经病学杂志2012，Vol.25Issue(6)：452-454,3.
不同部位后循环梗死的临床特点
Clinical features of posterior circulation infarction in different location
摘要
Abstract
Objective To describe the clinical features of posterior circulation infarction in different location. Methods 170 patients with posterior circulation infarction confirmed by brain MRI were classified into proximal (20 cases), middle (70 cases) , distal (58 cases) , and mixed (22 cases) groups according to lesion location. Clinical features were analyzed and compared among groups. Results The most frequent clinical manifestations were nausea and vomiting (70. 0%) , vertigo (60. 0%) , ataxia (70. 0%) and nystagmus (70. 0%) in proximal group, while slurred speech (71. 4%) .unilateral limb weakness (77. 1 %) , unilatera dyskinesia (74. 3%), central facial and lingual palsy (77. 1%) in middle group, dizziness (48.3%) and unilateral limb numbness (48.3%) in distal group, slurred speech (63. 6%) , nausea and vomiting (63. 6%) , ataxia (63. 6%) and unilateral limb numbness (54.5%) in mixed group. There were only 19 patients (11. 2%) with typical brainstem syndrome or crossed disturbance. Conclusions The middle and distal territories are the most involved in posterior circulation infarction. The clinical manifestations are various in different infarct parts. The incidence of crossed disturbance and brainstem syndrome which has locating value is low.关键词
后循环梗死/临床表现Key words
posterior circulation infarction/ clinical manifestation分类
医药卫生引用本文复制引用
葛颂,沈飞飞,田臻,燕兰云,万琪..不同部位后循环梗死的临床特点[J].临床神经病学杂志,2012,25(6):452-454,3.基金项目
国家自然科学基金青年科学基金(81000119) （81000119）
