中国卒中杂志Issue(8)：667-671,5.DOI:10.3969/j.issn.1673-5765.2015.08.007
70例脑动脉夹层患者临床特点分析
Analysis of 70 Patients with Brain Artery Dissection
陈启东 1张蓉 2张婧 1濮月华 1于丹丹 1魏娜 1温淼 1刘丽萍 1王拥军1
作者信息
- 1. 100050 北京首都医科大学附属北京天坛医院神经重症医学科
- 2. 山西省临汾职业技术学院附属医院
- 折叠
摘要
Abstract
Objective To analyze the clinical characteristics of brain artery dissection and promote the early diagnosis and treatment. <br> Methods The clinical, neuroimaging characteristic and treatment was retrospectively analyzed. <br> Results Totally 70 patients were analyzed. The mean age was (50.0±12.8) years old. There were 52 (74%) males and 18 (26%) females. There were 21 (30%) patients had extracranial carotid dissection, 30 (43%) had vertebral artery dissection, 15 (21%) had basilar artery dissection. There was 1 (1%) patient had dissection at horizontal segment, lateral ifssure segment, post brain artery and subclavian artery respectively. Total 19 (27%) patients had headache, 3 (4%) had dizzness, 11 (16%) had neck pain. There were 16 (23%) patients had ischemic stroke, 5 (7%) patients had subarachnoid hemorrhage (SAH), 4 (6%) patients had transient ischemic attack (TIA) (3 patients had ischemic stroke diagnosed latterly). One of the patients had headache and neck pain at the same time. 3 patients had ischemic stroke and headache, 1 (1%) patient had TIA, neck pain, ischemic stroke at the same time. Imaging showed dilatation like aneurysm, intial lfap, crescent high signal in the artery wall. About 9 (13%) patients had antithrombus therapy, 2 (3%) had anticoagulant therapy, 17 (24%) had coil therapy with stent assistant, 11 (16%) had stent therapy, 1 (1%) had anticoagulant and stent therapy. Total 23 (33%) patients had no therapy and 2 (3%) were dead. <br> Conclusion Patients with brain artery dissection may have no symptom, or headache and neck pain, or TIA, ischemic stroke or SAH. Early diagnosis and suitable treatment are very important.关键词
脑动脉夹层/头痛/颈痛/缺血性卒中/蛛网膜下腔出血Key words
Brain artery dissection/Headache/Neck pain/Ischemic stroke/Subarachnoid hemorrhage引用本文复制引用
陈启东,张蓉,张婧,濮月华,于丹丹,魏娜,温淼,刘丽萍,王拥军..70例脑动脉夹层患者临床特点分析[J].中国卒中杂志,2015,(8):667-671,5.
