Abstract
Objectives: Evaluate the relationship between clinical features and pc-ASPECT score of cerebral basilar artery infarction.
Subjects and methods: A prospective, descriptive study of 110 patients with cerebral basilar artery infarction treated at the Neurological Center, Bach Mai Hospital from July 2021 to July 2022.
Results: Patient with Glasgow score from 13-15 accounted for the highest rate of 90% and 1 patient (0.9%) had severe consciousness disorder (Glasgow <9) when admitting to the hospital. Most of common clinical symptoms at hospital admission were hemiplegia (75.5%), seventh nerve paralysis (62.7%), language disorders (58.2%), and sensory disorders. paralysis (33.6%), vertigo (26.4%), and pharyngeal paralysis (20.9%). The group with pc score – ASPECTS = 8 accounted for the highest proportion (60.9%). The group with pc - ASPECT score ≥ 8 accounted for 71.8%. Symptoms at hospital admission: Glasgow score ≤ 13; Quadriplegia, ophthalmoplegia, and pharyngeal paralysis had a statistically significant difference in pc - ASPECT score between two groups (pc-ASPECT score < 8 and ≥8)(p < 0.05).
Conclusion: The more cerebral infarction lesions in the perfusion area of the basilar artery system, the more diverse the clinical symptoms at hospital admission.