换一批颅内椎基底动脉夹层分离的临床诊断和治疗
Clinical diagnosis and treatment for intracranial vertebrobasilar artery dissection
摘要颅内椎基底动脉央层分离(vertebrobasilar artery dissection,VBAD)临床上并不少见,其发病形式主要表现为蛛网膜下腔出血或后循环缺血,因缺乏特异性症状和体征,极易造成误诊.文章就颅内VBAD的临床表现、影像学特征和治疗方法 进行了综述,旨在提高本病的早期诊断率,达到及早治疗、减少并发症和改善预后的目的.
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abstractsIntracranial vertebrobasilar artery dissection (VBAD) is not uncommon in clinical practice. Its onset form primarily manifested as subarachnoid hemorrhage or posterior circulation ischemia. It is very easy to be misdiagnosed because lack of the specific symptoms and signs. This article reviews the clinical manifestation, imaging characteristics and treatment of intracranial VBAD in order to improve the early diagnostic rate of the disease, reaching the purposes of early treatment, reducing complications and improving the prognosis.
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关键词
动脉瘤,夹层颅内动脉瘤椎动脉基底动脉蛛网膜下腔出血血管造影术,数字减影磁共振血管造影体层摄影术,X线计算机栓塞,治疗性支架Aneurysm,dissectingIntracranial aneurysmVertebral arteryBasilar arterySubarachnoid hemorrhageAngiography,digital subtractionMagnetic resonance angiographyTomography,X-ray computedEmbolization,therapeuticStents
医学主题词
基底动脉(Basilar Artery)蛛网膜下腔出血(Subarachnoid Hemorrhage)诊断(Diagnosis)动脉瘤(Aneurysm)颅内动脉瘤(Intracranial Aneurysm)
分类号
R74（神经病学与精神病学）
栏目名称
DOI
10.3760/cma.j.issn.1673-4165.2010.06.008
发布时间
2010-08-27（万方平台首次上网日期，不代表论文的发表时间）
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