Davous P, Tillier J N, Torrent J
Service de Neurologie, CHR Victor Dupouy, Argenteuil.
Rev Neurol (Paris). 1991;147(3):234-7.
A 54 year-old man was affected by three successive infarctions in the vertebro-basilar territory. These infarctions were related to a dolichoectatic basilar artery visualized by arteriography and NMR. Deafness occurred first on the left side and then, after the third infarction, on the right side. The authors underline that deafness can be observed after a pontine infarction in the territory of the anterior inferior cerebellar artery. A dolichoectatic basilar artery can be the source of thrombotic or embolic strokes. Their prevention by antiaggregant or anticoagulant therapy is suggested.
一名54岁男性在椎基底动脉区域连续发生三次梗死。这些梗死与动脉造影和核磁共振成像显示的基底动脉迂曲扩张有关。耳聋先出现在左侧,第三次梗死后右侧也出现了耳聋。作者强调,在小脑前下动脉区域的脑桥梗死之后可观察到耳聋。基底动脉迂曲扩张可能是血栓形成性或栓塞性中风的根源。建议通过抗血小板或抗凝治疗进行预防。