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例1,女,65岁,患风湿性心脏瓣膜病26年,在住院治疗期间,突然出现头晕,继之意识不清。查体:浅昏迷状态,瞳孔右侧3.5mm,左侧2.5mm,右眼呈下视位,四肢肌张力正常,腱反射(+++),双侧锥体束征阳性。CT示双侧丘脑及右枕叶梗塞灶。经治疗11小时后神志清醒,双眼球仍上视受限,视物呈菊花样改变,精神异常,表现轻微躁动不安,谵妄,双侧肢体肌力Ⅳ级。诊断为基底动脉尖综合征(RBAS)。经治疗症状明显好转。
Example 1, female, 65 years old, suffering from rheumatic heart valve disease for 26 years, during hospitalization, sudden dizziness, followed by unconsciousness. Physical examination: shallow coma state, the right pupil 3.5mm, left 2.5mm, right eye was the lower as the position, limb muscle tone normal, tendon reflex (+++), bilateral pyramidal tract signs positive. CT showed bilateral thalamic and right occipital infarction. After 11 hours of treatment, consciousness, eyes still restricted as the vision, as the material was chrysanthemum-like changes, mental disorders, mild disturbed performance, delirium, bilateral limb muscle strength Ⅳ. Diagnosis of basilar artery syndrome (RBAS). After treatment, symptoms improved significantly.