Mối liên quan giữa đặc điểm lâm sàng và hình ảnh cộng hưởng từ của nhồi máu não cấp hệ động mạch sống nền=Relationship between clinical characteristics and cerebrovascular MRI in an acute vertebrobasilar cerebral infarction

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Tác giả: Thị Thanh Đinh, Thị Mỹ Lê, Thế Anh Nguyễn, Thị Hiền Nguyễn, Văn Đan Nguyễn, Văn Hướng Nguyễn, Văn Tùng Nguyễn

Ngôn ngữ: vie

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Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.144-151

Bộ sưu tập: Metadata

ID: 244818

Thêm vào giỏ

Nghiên cứu của chúng tôi được thực hiện trên 110 bệnh nhân chẩn đoán xác định là nhồi máu não cấp hệ động mạch sống nền, từ tháng 8/2022 đến tháng 7/2023, tại Bệnh viện Đại học Y Hà Nội và Bệnh viện Bạch Mai. Kết quả thu được: 69% nam giới và 31% nữ giới, triệu chứng chóng mặt xuất hiện nhiều nhất với 54,55% và triệu chứng chóng mặt liên quan đến vùng tổn thương tiểu não và thùy chẩm trên MRI sọ não có ý nghĩa thống kê với p <
0,05 (p = 0,031). Các triệu chứng liệt vận động với 52,72% liên quan đến tổn thương vùng cầu não , rối loạn ý thức bằng điểm Glasgow với 15,45% liên quan đến tổn thương vùng cầu não và cuống não trên MRI sọ não có ý nghĩa thống kê với p <
0,05 (p = 0,045). Nhìn chung, chóng mặt là triệu chứng thường gặp trong đột quỵ nhồi máu não cấp hệ động mạch sống nền (54,55%) và có liên quan đến vùng tổn thương cầu não, thùy chẩm trên phim MRI sọ não.This cross sectional descriptive tudy was conducted on 110 patients. from August 2022 to July 2023, at Hanoi Medical University Hospital and Bach Mai Hospital. The research subjects were patients diagnosed with acute vertebrobasilar cerebral infarction within 72 hours from onset of symptoms through clinical signs and cranial MRI. Results: there were 69% male and 31% female, the most common symptom of dizziness was 54.55% and the symptom of dizziness was related to the cerebellar and occipital lobe lesions on brain MRI with statistical significance at p <
0.05 (p = 0.031). The symptoms of motor paralysis with 52.72% were related to lesions in the pontine region, impaired consciousness (decreased Glasgow Coma Scale score) with 15.45% were related to lesions in the pontine region and brain stem on brain MRI with statistical significance at p <
0.05 (p = 0.045). In general, dizziness is a common symptom in acute vertebrobasilar cerebral infarction (54.55%) and is related to the damaged area of the pons and occipital lobe on cranial MRI.

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