中国实用神经疾病杂志Issue(1)：8-10,3.
眩晕并椎动脉发育不良患者后循环梗死的规律及危险性分析
The risk analysis and regularity of posterior circulation infarction in vertigo patients with vertebral artery dysplasia
摘要
Abstract
Objective To explore the prevalence of vertebral artery dysplasia (VAH)and its risk and regularity of poste-rior circulation infarction (PCI)in vertigo patients with VAH.Method We sequentially enrolled 245 patients suspected of vas-cular vertigo,detected by Magnetic Resonance Angiography (MRA)to judge if merged with VAH,who were divided into cere-bral infarction group and non-infarction group according to whether VAH formed fresh infarction or not measured by Diffu-sion-weighted Imaging (DWI).Univariate and multivariate logistic regression analyses were performed to identify significant risk factors for PCI stroke.Finally,we analyzed the characteristics and regularity of PCI with VAH.Result The prevalence of VAH was 26.1% in vertigo patients.Multivariate logistic regression analysis showed that VAH (OR=2.59,95%CI:1.07-6. 27,P=0.035),stenosis of the posterior circulation (OR=6.04,95%CI:1.94-1 7.07,P=0.002)and diabetes mellitus (OR=3.21,95%CI:1.36-7.57,P=0.008)were independent risk factors for PCI.The TOAST subtypes of PCI with VAH were mainly attributed to small arteries occlusions (10/18).8 patients with cerebral infarctions which were located at pons,thala-mus and temporal occipital lobe infarction occurred on the opposite VAH,4 patients with cerebellar and medullary infarction occurred in the ipsilateral VAH (4/6).Conclusion VAH is common in vertigo patients,which may be an independent risk factor for PCI with certain regularity of its infarction distribution.关键词
血管性眩晕/VAH/后循环梗死/糖尿病Key words
Vascular vertigo/VAH/Posterior circulation infarction/Diabetes mellitus分类
医药卫生引用本文复制引用
鹿桂凤,张道培,张杰文,张淑玲,马乾坤,尹所..眩晕并椎动脉发育不良患者后循环梗死的规律及危险性分析[J].中国实用神经疾病杂志,2016,(1):8-10,3.基金项目
国家自然科学基金面上项目(81471203) （81471203）
