椎—基底动脉系统缺血性的病变,临床上并非少见。现就45例病人的临床表现、病因和诊断问题作一探讨。一、临床资料1983～1987年,我院共收治椎—基底动脉系统缺血性病变45例,占缺血性脑血管病变住院病人的19.15%。患者均系男性,年龄50～89岁,其中脑梗塞24例,TIA21例,住院时均有不同程度的脑干损害体征。45例中猝倒发作3例,高血压20例,糖尿病22例,低血压状态或低血压症10例。X线证实有颈椎病者26例。颈椎CT扫描18例均有较明显骨质 Vertebrobasilar ischemic lesions, clinically not uncommon. Now 45 cases of patients with clinical manifestations, etiology and diagnosis to make a discussion. First, clinical data From 1983 to 1987, our hospital received a total of 45 cases of vertebrobasilar ischemic lesions, accounting for 19.15% of ischemic cerebrovascular disease inpatients. Patients were male, aged 50 to 89 years, of which 24 cases of cerebral infarction, TIA21 cases, hospitalized with varying degrees of signs of brain stem damage. 45 cases of cataplasia in 3 cases, 20 cases of hypertension, 22 cases of diabetes, hypotension or hypotension in 10 cases. X-ray confirmed cases of cervical spondylosis in 26 cases. Cervical CT scan in 18 cases were more obvious bone