目的探讨基底动脉尖综合征的临床表现及影像学特点。方法回顾性分析32例急性基底动脉尖综合征患者的临床资料。结果 32例患者均为急性起病,临床表现为眩晕、呕吐12例,视物不清3例,言语不清14例,意识障碍16例,肢体瘫痪14例,行走不稳5例,起病时仅感头痛、呕吐1例。所有患者头颅影像学检查均发现多发性病灶。结论基底动脉尖综合征临床表现复杂多样,瘫痪程度较轻,MRI成像有助于早期确诊。 Objective To investigate the clinical manifestations and imaging features of basilar artery syndrome. Methods The clinical data of 32 patients with acute basilar apical syndrome were retrospectively analyzed. Results 32 patients were all acute onset. The clinical manifestations were vertigo and vomiting in 12 cases, blurred vision in 3 cases, vague speech in 14 cases, unconsciousness in 16 cases, limb paralysis in 14 cases, unsteady walking in 5 cases, Only a sense of headache, vomiting in 1 case. All patients with craniofacial lesions were found in multiple lesions. Conclusions The clinical manifestations of basilar apical syndrome are complex and diverse, with less paralysis. MRI imaging is helpful for early diagnosis.