Besson G, Bogousslavsky J, Moulin T, Hommel M
Department of Neurology, CHUV, Lausanne, Switzerland.
Acta Neurol Scand. 1995 Jan;91(1):37-42. doi: 10.1111/j.1600-0404.1995.tb05840.x.
We reported 18 patients who had stroke in the posterior circulation with dolichoectatic basilar artery. TIAs preceded posterior circulation infarct in 5 patients. Strokes involved medulla oblongata (3), pons (4), cerebellum (4), mesencephalon (4), thalamus or occipital lobe (3). Dolichoectatic basilar artery also produced hydrocephalus in one patient. The mechanism of stroke may be due to penetrating artery occlusion, basilar artery thrombosis or an embolism from the abnormal basilar artery. Short-term prognosis was poor seeing that 4 patients died within 12 days of stroke.
我们报告了18例患有基底动脉迂曲扩张的后循环卒中患者。5例患者在出现后循环梗死之前有短暂性脑缺血发作（TIA）。卒中累及延髓（3例）、脑桥（4例）、小脑（4例）、中脑（4例）、丘脑或枕叶（3例）。基底动脉迂曲扩张还导致1例患者出现脑积水。卒中机制可能是穿通动脉闭塞、基底动脉血栓形成或来自异常基底动脉的栓塞。由于4例患者在卒中后12天内死亡，短期预后较差。
