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作者报告2例最初诊断为基底动脉闭塞的双侧大脑前动脉(ACA)闭塞的患者如下:例1,男,65岁,急起四肢无力入院,3小时后仅右侧轻瘫,右腿感觉障碍。CT 正常,ECG 示房颤。无糖尿病、吸烟及高血压史。入院时Bp220/120mm-Hg。24小时后突然恶化,导致严重的四肢瘫。双侧Babinski 阳性。眼球可随检查者手指作水平移动,但不能垂直运动。瞳孔中等大小,光反应灵敏。TCD和椎动脉造影正常。次日意识恶化,予气管插管。3天后CT 显示两侧ACA 区低密度灶。此后三周里,病情无变化,唯有的自发活动是睁眼。例2,女,
The authors report two patients initially diagnosed with bilateral occlusion of the anterior cerebral artery (ACA) with basilar artery occlusion as follows: Example 1, male, 65 years old, acutely inflamed limbs were admitted to hospital with mild right paralysis only after 3 hours, right leg sensation obstacle. CT is normal, ECG showed atrial fibrillation. No diabetes, smoking and history of hypertension. Admission Bp220 / 120mm-Hg. Sudden deterioration after 24 hours, leading to severe quadriplegia. Bilateral Babinski positive. The eyeball can move horizontally with the examiner’s finger, but can not move vertically. Medium pupil size, light sensitive. TCD and vertebral artery angiography normal. Consciousness deteriorated the next day, to tracheal intubation. Three days later, the CT showed low density lesions on both sides of the ACA area. After three weeks, no change in condition, the only spontaneous activity is open eyes. Example 2, female,