中风与神经疾病杂志2018，Vol.35Issue(5)：446-449,4.
椎-基底动脉夹层致缺血性卒中31例临床分析
Comprehensive analysis of 31 cases of ischemic stroke due to vertebrobasilar artery dissection
熊康 1尤劲松1
作者信息
- 1. 广州中医药大学第二临床医学院,广东省中医院神经三科,广东 广州510000
- 折叠
摘要
Abstract
Objective To analysis analyze the clinical and neuroimaging characteristics ,treatment and prognosis of ischemic stroke due to vertebrobasilar artery dissection .Methods A retrospective review of 31 cases of ischemic stroke re-sulted from VBAD in our hospital was performed .Results Totally 31 patients were analyzed .There were 3 patients had Transient ischemic attactattack ( TIA) and 28 patients had infarction .The 31 cases were divide into intracranial ( n=25 ) and extracranial(n=6) group.Significance statistically were presented when thromboembolism caused by intracranial cere -bral infarction group(n=0) and extracranial group(n=3) were compared.About 17 patients had antithrombus therapy and 1patient had anticoagulant therapy in intracranial group ,while 4 patients had anticoagulant therapy and 0 patient had antithrombus therapy in extracranial group (P<0.05).Imaging showed manifestation like aneurysm (n=16),segmental stenosis(n=6),occlusion(n=4),double lumen or shaped thickening (n=5).Conclusion Different mechanism were prensent in ischemic stroke due to VBAD:thromboembolism mainly in intracranial group while perforating artery occlusion occurring extracranial group .As corresponding ,antithrombus therapy mainly in intracranial group and anticoagulant therapy in extracranial group may be effective .Early positive diagnosis and suitable treatment are very important .关键词
椎-基底动脉夹层/缺血性脑卒中/梗死机制Key words
Vertebrobasilar artery dissection/Schemic stroke/Infarction mechanism分类
医药卫生引用本文复制引用
熊康,尤劲松..椎-基底动脉夹层致缺血性卒中31例临床分析[J].中风与神经疾病杂志,2018,35(5):446-449,4.
