TOP OF THE BASILAR SYNDROME - CLINICO-RADIOLOGICAL EVALUATION

被引:30
作者
SATO, M [1 ]
TANAKA, S [1 ]
KOHAMA, A [1 ]
机构
[1] KAWASAKI MED SCH, DEPT EMERGENCY MED, KURASHIKI, OKAYAMA 70101, JAPAN
关键词
D O I
10.1007/BF00348914
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Sixteen patients having infarction caused by circulatory disturbance at the top of the basilar artery, that is to say, the "top of the basilar" syndrome, were studied, the diagnosis having been made by computerized tomography. Infarcts were widely distributed in each patient between the thalamus, midbrain, pons, cerebellum, and occipital lobe. Both thalami were involved in 7 cases. When the thalamus was involved bilaterally, the low density areas were symmetrical in size and localization. Angiography revealed that stenosis or occlusion lay within a circle 2 cm in diameter surrounding the five-forked junction at the top of the basilar artery in 84.6%. Recanalization of the occluded artery occurred in 61.5%, suggesting that embolism played an important role in appearance of this syndrome.
引用
收藏
页码:354 / 359
页数:6
相关论文
共 9 条
[1]   TOP OF THE BASILAR SYNDROME [J].
CAPLAN, LR .
NEUROLOGY, 1980, 30 (01) :72-79
[2]   PARAMEDIAN THALAMIC AND MIDBRAIN INFARCTS - CLINICAL AND NEUROPATHOLOGICAL STUDY [J].
CASTAIGNE, P ;
LHERMITTE, F ;
BUGE, A ;
ESCOUROLLE, R ;
HAUW, JJ ;
LYONCAEN, O .
ANNALS OF NEUROLOGY, 1981, 10 (02) :127-148
[3]  
DALAL PM, 1965, LANCET, V2, P358
[4]   LACUNAR STROKES AND INFARCTS - A REVIEW [J].
FISHER, CM .
NEUROLOGY, 1982, 32 (08) :871-876
[5]   THE RELATIONSHIP BETWEEN THE 3RD VENTRICLE AND THE BASILAR ARTERY [J].
GREITZ, T ;
LOFSTEDT, S .
ACTA RADIOLOGICA, 1954, 42 (02) :85-100
[6]  
JENNETT B, 1975, LANCET, V1, P480
[7]   ANATOMY OF ARTERIAL SUPPLY OF HUMAN THALAMUS AND ITS USE FOR INTERPRETATION OF THALAMIC VASCULAR PATHOLOGY [J].
PERCHERON, G .
ZEITSCHRIFT FUR NEUROLOGIE, 1973, 205 (01) :1-13
[9]  
1983, STROKE, V14, P668