%0 Journal Article
%T 自发性椎动脉夹层临床特点及预后分析
%A 雷蕾
%A 杨觅
%A 何俐
%J 华西医学
%P 1611-1614
%D 2010
%X 【】目的观察自发性椎动脉夹层（sVAD）的临床特点及预后。方法对2009年1月-2010年1月收治的15例经核磁共振血管成像和数字减影血管造影证实的sVAD患者，进行危险因素、临床表现、影像学特征、治疗及预后的全面分析。结果15例sVAD患者，男10例，女5例；平均年龄40岁。12例有同侧头部、后颈部疼痛；13例发生后循环缺血性卒中，表现为延髓背外侧综合征者8例；14例给予抗凝治疗，1例予抗血小板治疗。随访6~12个月，MRS评分5例0分，9例1分，1例2分。结论sVAD发病年龄较轻，男性居多。临床多表现为后循环缺血及后枕部或颈部疼痛，预后较好。？【Abstract】ObjectiveToobservetheclinicalmanifestationandprognosisinpatientswithspontaneousvertebralarterydissection(sVAD).MethodsClinicaldataof15patientswithsVADwhowereconfirmedbyMRAandDSAfromJanuary2009toJanuary2010wereanalyzedonriskfactors,clinicalsymptoms,imagingfeatures,treatmentand6-12monthsprognosis.ResultsThepatientsweretenmalesandfivefemales,withtheaverageageof40yearsold.Twelvepatientshadpaininhomolateralheadandneck.Thirteenpatientshadstrokeinposteriorcirculation,amongwhicheightshowedWallenbergSyndrome.Anticoagulanttherapywasgivenin14patientsandantiplatelettreatmentinone.Within6-12monthsfollow-up,MRSscoreswerezeroinfivepatients,oneinninepatients,andtwoinonepatient.ConclusionsVADoftenoccurresinyoungpeople,andmainlyinmen.StrokeinposteriorcirculationandpainareeasilyseeninsVAD,andmostofthemhavefavorableoutcome.？
%K 椎动脉
%K 夹层
%K 影像学特征
%K 预后
%U http://www.hxyxqk.com.cn/oa/DArticle.aspx?type=view&id=201009010