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《Beijing Medical Journal》 2007-03
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Clinical observation and prognostic research of patients with severe basilar arteries damage

JU Yi, WANG Yong-jun(Department of Neurology, Beijing Tiantan Hospital, Beijing 100050)  
Objective To study the clinical features, evaluate the prognosis and analysis the related factors of poor outcome of patients with severe stenosis or occllusion of basilar arteries. Methods 168 patients with vertebrobasilar infarction admitted in 2003, were enrolled in this study. Severe stenosis or occlusion of basilar arteries of 29 patients were confirmed by DSA and they are followed-up for one year after the onset to assess the clinical and vascular features that might be related to poor outcomes. Results Twenty-one patients had vertigo attacks before cerebral infarction, the most frequent lesions were located at the middle 1/3 of the basilar artery. The mortality rate was 44.4% and the rate of major disability was 13.8% one year after onset, and patients with NIHSS≥14 were more likely to have a poor outcome. Conclusions Patients with cerebral infarction in basilar arteries with severe damages have poor outcome. Vertigo occures frequently, the status of consciousness at the initial stage predicts for the outcome. Evaluation of NIHSS can be used to evaluate the prognosis.
【CateGory Index】: R743.3
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