[1]梁　慧,谭　军.头颅磁共振成像联合数字减影血管造影在基底动脉尖综合征诊断中的应用价值[J].新乡医学院学报,2019,36(7):684-686.[doi:10.7683/xxyxyxb.2019.07.021]
　LIANG Hui,TAN Jun.Application of skull magnetic resonance imaging combined with digital subtraction angiography in the diagnosis of top of basilar syndrome[J].Journal of Xinxiang Medical University,2019,36(7):684-686.[doi:10.7683/xxyxyxb.2019.07.021]
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头颅磁共振成像联合数字减影血管造影在基底动脉尖综合征诊断中的应用价值
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
36
期数:
2019年7
页码:
684-686
栏目:
临床研究
出版日期:
2019-07-05

文章信息/Info

Title:
Application of skull magnetic resonance imaging combined with digital subtraction angiography in the diagnosis of top of basilar syndrome
作者:
梁　慧1; 谭　军2
（1.焦作市第二人民医院神经内科,河南　焦作　454000；2.新乡医学院第三附属医院神经内科,河南　新乡　453003）
Author(s):
LIANG Hui1; TAN Jun2
(1.Department of Neurology，the Second People′s Hospital of Jiaozuo City,Jiaozuo 454000,Henan Province,China;2.Department of Neurology，the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003,Henan Province,China)
关键词:
脑梗死; 基底动脉尖综合征; 磁共振; 数字减影血管造影
Keywords:
cerebral infarction; top of basilar syndrome; magnetic resonance imaging; digital subtraction angiography
分类号:
R743
DOI:
10.7683/xxyxyxb.2019.07.021
文献标志码:
A
摘要:
目的　探讨头颅磁共振成像（MRI）联合数字减影血管造影（DSA）在基底动脉尖综合征（TOBS）诊断中的价值。方法　回顾性分析2015年6月至2018年6月焦作市第二人民医院收治的42例TOBS患者临床资料，观察患者MRI及DSA表现。结果　42例患者中，MRI检查显示均为多发性脑梗死，病灶分布于基底节区10例、丘脑17例、中脑12例，桥脑32例，小脑32例，桥小脑脚2例，枕叶15例，颞叶内侧面12例。磁共振弥散加权成像序列显示，病灶呈不同程度高信号改变；磁共振血管造影显示基底动脉尖端血管形态、血流信号异常改变。DSA表现为椎基底动脉狭窄或未显影。结论　头颅MRI联合DSA可为TOBS诊断提供较全面信息，可作为临床常规检查。
Abstract:
Objective　To investigate the application value of skull magnetic resonance imaging (MRI) combined with digital subtraction angiography (DSA) in the diagnosis and treatment of top of basilar syndrome (TOBS).Methods　The clinical data of 42 patients with TOBS admitted to the Second People′s Hospital of Jiaozuo City from June 2015 to June 2018 were retrospectively analyzed.The MRI and DSA findings were observed.Results　MRI results showed that all patients were multiple cerebral infarction.The lesions distribution results showed that there were 10 cases in basal ganglia region,17 cases in thalamus,12 cases in midbrain,32 cases in pons,32 cases in cerebellum,2 cases in cerebellopontine angle,15 cases in occipital lobe and 12 cases in medial side of temporal lobe.The lesions showed different degree high signal changes under magnetic resonance diffusion weighted imaging sequence.Magnetic resonance angiography showed abnormal changes in blood vessel morphology and blood flow signals at the top of the basilar.DSA showed stenosis or undeveloped of vertebrobasilar artery.Conclusion　Skull MRI combined with DSA can provide comprehensive information for TOBS diagnosis and can be used as a routine clinical examination.

参考文献/References:

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更新日期/Last Update: 2019-07-05