1 case of basilar artery syndrome Clinical Experience.docVIP

 PAGE \* MERGEFORMAT 5 1 case of basilar artery syndrome Clinical Experience [Keywords:] experience of the basilar artery syndrome Basilar artery syndrome (TOBS, in 1980 by Caplan [1] first reported, is a special type of vertebral - basilar artery system disease, is the result of cutting-edge parts of the basilar artery caused by blood circulation disorders a group of clinical syndrome. often in the midbrain, thalamus, midbrain, upper pons, cerebellum, occipital and temporal lobe of ischemic damage. complex and diverse clinical symptoms and signs, the prognosis is poor, which should be enough attention to the clinician. now I Section 1 case of patients admitted TOBS below. 1 Clinical data Patients, male, 60 years old, previous history of hypertension, because of dizziness, headache, blurred vision 2d admission. Examination: Shen Qing, language fluency, his eyes to the movement of the ball with ease, such as Datong bilateral pupil round, light reflex sensitivity, blurred vision, bilateral nasolabial fold symmetry, Shenshe center. grade limb muscle strength, muscle tone normal, bilateral feeling normal, pathological reflex was not elicited lower extremity. admission head CT scan line the same day, the left low density lesions in the occipital lobe can be seen fuzzy side, the first 2 line head MRI and MRA examination revealed: bilateral occipital lobe infarction, bilateral vertebral arteries and basilar artery blood thinner (considering atherosclerosis. application of fibrinolytic, anticoagulant, dehydration , cerebral protection and other drugs, the symptoms slightly improved after admission the patient suddenly 4d 10:00 vomiting, vomiting, gaze to the right eye simultaneously, decreased level of consciousness, rapid disease progress, the gradual emergence of consciousness, bilateral miosis, light reflex, positive reflection of both lower extremities pathological diagnosis of basilar artery syndrome, despite symptomatic treatment, the disease conti