Sohn Y H, Kim S M, Kim J S, Kim D I
Department of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Med J. 1991 Mar;32(1):91-3. doi: 10.3349/ymj.1991.32.1.91.
A 48-year-old hypertensive man had sudden onset of symptoms suggesting vertebrobasilar insufficiency, which were transient in nature lasted for only 4 hours. Brain computed tomography revealed a small hematoma in the pontomedullary junction. This is an uncommon presentation of benign brainstem hemorrhage simulating transient ischemic attack. We propose that computed tomographic scan using thin slices of 3mm to 5mm thickness at the level of brainstem is required before starting anticoagulation therapy for vertebrobasilar transient ischemic attack.
一名48岁的高血压男性突然出现提示椎基底动脉供血不足的症状，这些症状具有短暂性，仅持续了4小时。脑部计算机断层扫描显示脑桥延髓交界处有一个小血肿。这是一种罕见的良性脑干出血表现，酷似短暂性脑缺血发作。我们建议，在开始针对椎基底动脉短暂性脑缺血发作进行抗凝治疗之前，需要在脑干水平进行厚度为3毫米至5毫米的薄层脑部计算机断层扫描。
