分析６４例基底动脉型偏头痛，发作因素有偏头痛家族史、精神或情绪因素、视觉疲劳、劳累或睡眠不足。前驱表现为眩晕、视觉障碍、恶心、四肢乏力、共济失调、精神症状等。头痛位于枕部、双或单颞侧，发作时间多在１～４小时，间歇期不定。ＴＣＤ检查证实发作期和间歇期多数存在基底动脉痉挛。认为诊断的关键是发作性、以基底动脉缺血表现为前驱症状、随之而出现的搏动性头痛。 Sixty-four patients with basilar migraine were analyzed. The causes of the attack were family history of migraine, mental or emotional factors, visual fatigue, fatigue or lack of sleep. Precursors manifested as dizziness, visual impairment, nausea, weakness, ataxia, psychiatric symptoms. Headache in the occipital, double or single temporal, the onset of time in 1 to 4 hours, intermittent irregular. TCD examination confirmed the onset and intermission of the majority of basilar artery spasm. The key to diagnosis is episodic, basilar ischemia manifests itself as a prodromal symptom, followed by pulsatile headache.