Mối liên quan giữa lâm sàng và thang điểm pc-ASPECT của nhồi máu não hệ động mạch thân nền=Relationship between clinical and pc-aspect score of cerebral basilar artery infarction

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Tác giả: Văn Tuận Nguyễn, Anh Tuấn Trần, Quang Bình Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Thần kinh học, 2024

Mô tả vật lý: tr.58-64

Bộ sưu tập: Metadata

ID: 241670

Thêm vào giỏ

Evaluate the relationship between clinical features and pc-ASPECT score of cerebral basilar artery infarction. Subjects and methods: A prospective, descriptive study of 110 patients with cerebral basilar artery infarction treated at the Neurological Center, Bach Mai Hospital from July 2021 to July 2022. Results: Patient with Glasgow score from 13- 15 accounted for the highest rate of 90% and 1 patient (0.9%) had severe consciousness disorder (Glasgow <
9) when admitting to the hospital. Most of common clinical symptoms at hospital admission were hemiplegia (75.5%), seventh nerve paralysis (62.7%), language disorders (58.2%), and sensory disorders. paralysis (33.6%), vertigo (26.4%), and pharyngeal paralysis (20.9%). The group with pc score – ASPECTS = 8 accounted for the highest proportion (60.9%). The group with pc - ASPECT score ≥ 8 accounted for 71.8%. Symptoms at hospital admission: Glasgow score ≤ 13
Quadriplegia, ophthalmoplegia, and pharyngeal paralysis had a statistically significant difference in pc - ASPECT score between two groups (pc-ASPECT score <
8 and ≥8)(p <
0.05). Conclusion: The more cerebral infarction lesions in the perfusion area of the basilar artery system, the more diverse the clinical symptoms at hospital admission.Nhận xét mối liên quan giữa một số đặc điểm lâm sàng và thang điểm pc-ASPECT của nhồi máu não hệ động mạch thân nền. Đối tượng và phương pháp nghiên cứu: nghiên cứu mô tả tiến cứu được thực hiện trên 110 bệnh nhân được chẩn đoán nhồi máu não hệ động mạch thân nền được điều trị tại trung tâm Thần kinh - Bệnh viện Bạch Mai từ tháng 7 năm 2021 đến tháng 7 năm 2022. Kết quả: Điểm Glasgow từ 13-15 điểm chiếm tỷ lệ cao nhất là 90% và có 1 bệnh nhân (0,9%) rối loạn ý thức mức độ nặng (Glasgow <
9) lúc vào viện. Các triệu chứng lâm sàng lúc vào viện hay gặp lần lượt là liệt nửa người (75,5%), liệt dây thần kinh số VII (62,7%), rối loạn ngôn ngữ (58,2%), rối loạn cảm giác (33,6%), chóng mặt (26,4%) và liệt hầu họng (20,9%). Nhóm có điểm pc – ASPECTS = 8 điểm chiếm tỉ lệ cao nhất (60,9%). Nhóm có điểm pc – ASPECT ≥ 8 chiếm 71,8%. Các triệu chứng lúc vào viện: điểm Glasgow ≤ 13
liệt tứ chi, liệt vận nhãn, liệt hầu họng có sự khác biệt có ý nghĩa thống kê về điểm pc – ASPECT <
8 và ≥8 (p<
0,05). Kết luận: Tổn thương nhồi máu não thuộc khu vực tưới máu hệ động mạch thân nền càng nhiều thì triệu chứng lâm sàng lúc vào viện càng đa dạng.

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