中国卒中杂志2019，Vol.14Issue(1)：49-52,4.DOI:10.3969/j.issn.1673-5765.2019.01.009
血管性孤立性前庭综合征临床特点
Clinical Characteristic of Isolated Vestibular Syndrome of a Vascular Cause
摘要
Abstract
Objective To better understand the clinical feature of isolated vestibular syndrome of a vascular cause. Methods A retrospective analysis of 158 patients with posterior circulation infarction from the first hospital of Fangshan District of Beijing from January 2013 to December 2015 was performed. Cerebral MRI, vertebral artery color Doppler ultrasound, TCD and intracranial artery MRA were performed in all subjects, with CTA and DSA if necessary. According to clinical manifestation, all patients were divided into vertigo group and common group. Risk factors, clinical charateristic and infarction location were compared between the two groups. Results (1) There were 32 (20.3%) patients in vertigo group and 126 (79.7%) patients in common group. There were no statistical difference in age, hypertension, diabetes mellitus, dyslipidemia, smoking, and atrial fibrillation between the two groups. Posterior circulation artery stenosis rate was higher in vertigo group than that in common group (46.9% vs 32.5%, P=0.034) and the artery stenosis was more found in man (81.2% vs 50.8%, P=0.020). (2) Infarction in vertigo group mostly located in proximal vertebrobasilar artery territory (59.4% vs 34.1%, P=0.003), especially in PICA territory. (3) The false negative rate in initial DWI was higher in vertigo group (18.8% vs 3.0%, P=0.005), while the positive rate of the battery of head impulse test, nystagmus, test of skew (HINTS) was as high as 87.5% in vertigo group. Conclusions Compared common posterior circulation infarction, the patients with isolated vestibular syndrome had a higher rate of artery stenosis and a higher false negative rate in initial DWI, and their culprit lesions mostly located in proximal vertebrobasilar artery territory.关键词
孤立性前庭综合征/脑梗死/后循环/眩晕Key words
Isolated vestibular syndrome/Infarction/Posterior circulation/Vertigo引用本文复制引用
陈亮,李建华,张宗欣..血管性孤立性前庭综合征临床特点[J].中国卒中杂志,2019,14(1):49-52,4.基金项目
上海市第一人民医院临床创新研究团队课题(CTCCR-2018B03) （CTCCR-2018B03）
