题目：

椎基底动脉冗扩的介入治疗

Endovascular therapy of Vertebrobasilar Dolichoectasia

摘要：

57岁，男性，15月前突发右侧肢体活动不利伴言语不清，当地医院行溶栓治疗后病情好转，遗留言语不利。3月前再次突发左侧肢体活动不利，言语不能，保守治疗后肢体活动较前好转，遗留言语含混不清。行头颅MRI及CTA提示基底动脉冗长扩张，予以重叠支架植入及对侧椎动脉闭塞治疗。冗扩修复，无新发缺血症状。

A 57-year-old male experienced a sudden onset of movement disorders of the right side with slurred speech 15 months ago. His condition improved after receiving thrombolytic treatment at a local hospital with slurred speech left untreated. He had another sudden onset of movement disorders of the left side with speech impairment 3 months ago. After conservative treatment, his movement ability improved with slurred speech remained. The following MRI and CTA revealed Vertebrobasilar Dolichoectasia, treated with overlapping stenting from the L-VA to the basilar artery and a staged sacrifice of the R-VA. The treatment was successful, with no ischemic complications observed.