NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, HÌNH ẢNH CỘNG HƯỞNG TỪ NÃO MẠCH NÃO CỦA BỆNH NHÂN NHỒI MÁU NÃO CẤP HỆ ĐỘNG MẠCH ĐỐT SỐNG THÂN NỀN TẠI BỆNH VIỆN THANH NHÀN

Abstract

Objective: 1. Describe the clinical features and cerebral magnetic resonance imaging of acute cerebral infarction of the vertebrobasilar artery system. 2. Comment on the correlation between clinical features and magnetic resonance imaging of acute cerebral infarction of the vertebrobasilar artery system. Subjects and Methods: A cross-sectional descriptive study was conducted on 30 patients with acute ischemic stroke in the vertebrobasilar arterial system who were treated at Thanh Nhan Hospital from January 2025 to September 2025. Results: The mean age of the study group was 62.5 ± 8.95 years. The male-to-female ratio was 1:3. Regarding onset pattern, sudden onset occurred in 67% of cases, while gradual progression accounted for 33%. The most common clinical symptom was vertigo (50%), followed by nausea and vomiting (30%), and headache (23.33%). On MRI brain and vascular imaging, multiple brain parenchymal lesions were observed in 30% of patients, and single-site lesions in 70%. The most common lesion location was the pons (46.67%), followed by the cerebellum (10%) and the thalamus (6.67%). pc-ASPECTS scores ranged from 8–10 in 80% of cases and from 0–7 in 20%. In the group with pc-ASPECTS scores of 8–10, patients had better clinical prognosis and lower rates of disability upon discharge. In contrast, patients with scores of 0–7 had more severe clinical conditions and higher post-discharge disability rates.