MỐI LIÊN QUAN GIỮA HÌNH ẢNH HỌC VÀ TIÊN LƯỢNG CỦA NHỒI MÁU NÃO HỆ ĐỘNG MẠCH THÂN NỀN

Abstract

Objectives: Evaluate the relationship between imaging and prognosis of cerebral basilar arteryinfarction. Subjects and method: A prospective, descriptive study of110 patients with cerebral basilar arteryinfarctiontreated at the Neurological Center, Bach Mai Hospital from July 2021 to July. Results: The average age of the study group was 63.70 ± 14.23. The male/female ratio is 1.6/1. The number of patients with basilar artery lesions on imaging was 36 patients (32.7%), of which there were 4 patients with inferior lesion, 3 patients with the middle lesions, 7 patients with the superiorlesions, the entire basilar artery was 22 patients. In the study, the group with pc score – ASPECTs = 8 points accounted for the highest rate (22.2%). None of the patients had pc-ASPECTS scores in groups 1, 9 and 10. There is a relationship between the characteristics of basilar artery lesions, the pc-ASPECTs score and the degree of disability after 90 days. Patients with basilar artery occlusion were 15.4 times more likely to have severe disability than patients with only basilar stenosis. Patients with pc-ASPECTs < 8 are 10 times more likely to have severe disability than patients with pc-ASPECTs = 8. Conclusion: The more cerebral infarction lesions on magnetic resonance in the perfusion area of ​​the basilar artery system, the greater the degree of disability.