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华西医学  2010 

自发性椎动脉夹层临床特点及预后分析

, PP. 1611-1614

Keywords: 椎动脉,夹层,影像学特征,预后

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Abstract:

【】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.?

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