基底动脉尖缺血性卒中的昏迷.PDF

Advances in Clinical Medicine 临床医学进展, 2011, 1, 19-22 /10.12677/acm.2011.11004 Published Online June 2011 (/journal/acm/) Coma from “Top of the Basilar Artery” Ischemic Stroke: Is Irreversible Coma? 1 2 1* 1 1 Guangsheng Wang , Yeting Zhou , Daoming Tong , Xiaodong Chen , Tonghui Yang , Chunhong 1 1 1 1 Chang , Yuanwei Wang , Lehuai Wu , Hanbei Gu 1 2 Departments of Neurology and Medical Evaluation Unit, Shuyang People’ Hospital, Shuyang Email: tongdaoming@163.com Received: Apr. 28th, 2011; revised: May 11th, 2011; accepted: May 13th, 2011. Abstract: Although top of the basilar artery occlusion has a poor prognosis, the different patterns and out- come of coma in top of the basilar artery ischemic stroke patients have not been adequately investigated. We report two cases with top of the basilar artery ischemic stroke and acute coma. In this study we demonstrate in two patients with an elevated hypertention on admission and a long history of hypertention. One patient, with top of the basilar artery transient ischemic attack and transient coma (normal T1- and T2-weighted MR images), had a good outcome. The other, with top of the basilar artery infarction and coma (high signal inten- sities on T2-weighted MR images in the bilateral midbrain and cerebellum), made a survived in a persistent vegetative state and eventual death. We find that the coma in top of the basilar artery ischemic stroke has a different pattern, and reversible or irreversible is directly related to whether blood flow can be recanalization. We sugg