Ringelstein E B, Zeumer H
J Neurol. 1982;228(3):161-70. doi: 10.1007/BF00313728.
In general, the prognosis of bilateral vertebral or basilar artery occlusions is very poor. No satisfactory management of this condition is known; in addition, the early diagnosis of severe lesions of the "intradural vertebrobasilar artery" on the basis of clinical signs and symptoms alone is difficult and regularly requires invasive procedures. Continuous-wave Doppler sonography has proved to be of great value in the primary diagnosis of vertebrobasilar thrombosis. In two cases, in whom bilateral intracranial vertebral artery lesions and basilar thrombosis were successfully treated with the help of local intraarterial fibrinolysis, Doppler sonography proved to be a reliable diagnostic tool for the evaluation and the non-invasive follow-up of thrombolysis. Clinical, Doppler sonographic and angiographic findings are presented and correlated.
一般来说，双侧椎动脉或基底动脉闭塞的预后非常差。目前尚无令人满意的治疗方法；此外，仅根据临床症状和体征早期诊断“硬脊膜内椎基底动脉”的严重病变很困难，通常需要进行侵入性检查。连续波多普勒超声已被证明在椎基底动脉血栓形成的初步诊断中具有重要价值。在两例双侧颅内椎动脉病变和基底动脉血栓形成的患者中，借助局部动脉内纤维蛋白溶解术成功进行了治疗，多普勒超声被证明是评估溶栓效果和进行无创随访的可靠诊断工具。本文展示并对比了临床、多普勒超声和血管造影的检查结果。
