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篇名
基底動脈發育不全
並列篇名
Basilar Artery Hypoplasia
作者 陳建志 (Jiann-Jy Chen)陳登郎 (Dem-Lion Chen)楊菁華
中文摘要
背景:只要基底動脈在上段1.0 cm 處之外徑小於一般值(3.0 mm~5.5 mm),可認定為基底動脈發育不全,特回顧作者任職於桃園某區域醫院時所遇到之案例。材料及方法:回溯2008 年至2010 年間,由作者所安排之合併飛行時間效應血管造影之磁振造影者共計96 名,選出基底動脈發育不全者。結果:共計12 名(男3,女9),年齡平均為49.8 歲(標準差為11.9),58.3%(n=7)臨床診斷為椎基底動脈循環不全,83.3%(n=10)會合併椎動脈發育不全,66.7%(n=8)具有胎兒型後大腦動脈,無人可發現持續性環節動脈。均根據臨床診斷給予相對應的治療,58.3%(n=7)病症受到了控制,其餘41.7%(n=5)病症已經治癒。結論:對於頭暈、頭痛或耳鳴症狀持續3 個月以上,且高度懷疑有中樞神經病變之個案,所安排的合併飛行時間效應血管造影之磁振造影中,基底動脈發育不全的發生比例為12.5%,建議內科保守治療。
英文摘要
Background: Basilar artery hypoplasia (BAH) was considered if the outer diameter in the upper 1.0 cm segment was less than the common range (3.0 mm~ 5.5 mm). The patients I encountered at a regional hospital in Tao-Yuan were reviewed. Methods: Between 2008 and 2010, 96 patients with magnetic resonance imaging with a time-of-flight angiogram scheduled by the author were reviewed. Results: Twelve patients (3 male and 9 female) with BAH were enrolled. The average age was 49.8 years (S.D.=11.9). Of them, 58.3% (n=7) were diagnosed with vertebrobasilar artery insufficiency; besides, 83.3% (n=10) had vertebral artery hypoplasia, and 66.7% (n=8) had fetal type posterior cerebral arteries, but none had a persistent trigeminal artery. All of them were treated conservatively. Finally, the symptoms of 58.3% (n=7) were well controlled, and that of the others were cured. Conclusions: The prevalence of BAH was 12.5% on magnetic resonance imaging with time-of-flight angiograms of those that had been bothered by dizziness, headache or tinnitus for at least three months, and were suspected of a central lesion. Conservative treatment was recommended.
起訖頁 95-100
關鍵詞 飛行時間效應血管造影陣發性頭暈椎基底動脈循環不全椎動脈發育不全慢性緊縮型頭痛Time-of-flight angiogramEpisodic dizzinessVertebrobasilar artery insufficiencyVertebral artery hypoplasiaChronic tension-type headache
刊名 秀傳醫學雜誌  
期數 201112 (10:3-4期)
出版單位 秀傳紀念醫院
該期刊-上一篇 分化良好的甲狀腺癌的治療管理
該期刊-下一篇 探討醫院以知識管理觀點導入學習管理系統關鍵因素與執行成效
 

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