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通过脑MRI检查,可很容易地诊断小脑上动脉(SCA)供血区的梗死。为了阐明其基本的病理生理,我们调查了10例仅表现为小脑症状的SCA梗死病人的临床资料。 10例患者均为男性,50岁～70岁,突然发病,MRI示小脑前叶梗死(除外基底动脉闭塞病人)。发病后1月内行脑MRI及脑血管造影术,MRI在发病后3周内进行。脑血管造影术在发病后1d～14d内检查。所有病人均行包括心电图、经胸超声心动图和Holter监测的心脏检查。
Infarction of the upper cerebellar artery (SCA) donor area can be easily diagnosed by brain MRI examination. In order to elucidate its basic pathophysiology, we investigated the clinical data of 10 patients with SCA who showed only cerebellar symptoms. All 10 patients were male, aged 50 to 70 years old, with sudden onset. MRI showed anterior cerebellar infarction (excluding patients with basilar artery occlusion). Within 1 month after onset of brain MRI and cerebral angiography, MRI within 3 weeks after onset. Cerebral angiography at 1d ~ 14d after onset of examination. All patients underwent cardiac exams including electrocardiogram, transthoracic echocardiography and Holter monitoring.