Bohnert B, Heckl R
Fortschr Neurol Psychiatr Grenzgeb. 1978 Feb;46(2):76-81.
Arteriosclerosis is the most common cause of basilar artery thrombosis. Rarely basilar occlusions are observed after cerebral concussion and hyperextension of the neck; occasionally they are founded in craniocervical dysplasia, arteritis and hypercoagulability of blood.--Clinical data and differential diagnostic aspects are demonstrated in 4 own cases and the present literature. Characteristics of clinical symptomatology are discussed with respect to the sites of predilection in distal and proximal part of basilar artery. Angiography examination is the most important diagnostic method and shows prognostic indications by demonstration of collaterals.--The treatment consists of inhibition of blood viscosity, reduction of perifocal edema and stabilization of blood-pressure.
动脉硬化是基底动脉血栓形成最常见的原因。脑震荡和颈部过度伸展后很少观察到基底动脉闭塞;偶尔在颅颈发育异常、动脉炎和血液高凝状态中发现。——本文通过4例自身病例及现有文献阐述了临床资料和鉴别诊断方面的内容。结合基底动脉远端和近端的好发部位讨论了临床症状学特征。血管造影检查是最重要的诊断方法,通过显示侧支循环给出预后指征。——治疗包括抑制血液黏稠度、减轻灶周水肿和稳定血压。