【摘要】 探讨基底动脉尖闭塞后临床表现，影像学改变及诊断等问题。方法：观察１２例病人的临床表 现，并作头颅ＣＴ／ＭＲＩ检查。结果：１２例病人均有程度不同的意识障碍、眼球运动障碍、瞳孔异常及偏盲等。头 颅ＣＴ／ＭＲＩ见丘脑、脑干、枕叶等多处梗塞灶。结论：根据本病典型的临床表现及影像学改变，诊断一般不难。由 于本病闭塞的血管在二条或二条以上，且在要害部位（如脑干），故及早诊断、积极治疗十分重要。本组治疗有效 率为６６．７％。更多还原

【Abstract】 Objective: To approach some problems of clinical inarifectations, changes in iconography and diagnoses aferter the obliteration of basilar-artery top. Methods: Observed the clinical manifestations in 12 cases and had examinations of CT or MRI of skull. Results: 12 cases had usually the disorders of consciousness, the obstacle in eyeball movement, the abnonnality of pupils and hendanopsisa in venous degrees. CT or MRI of skull in 12 cases showes multiple infarction at thalamus, brain stem and occipital lobe. Conclusion: According to the changes of typical clinical manifestation and iconography ins the disease, the diagnosis was not usually difficult. Because there was more than two the obliterated vasculars and their positions, like brain stem, early diagnosis and active treatment were extremely important. The effective rate of treatment in this group patients was 66.7 percent.更多还原