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笔者近几年所遇不典型小脑肿瘤7例,均经头颅CT证实,其中6例经手术与病理证实,现就误诊原因分析如下。临床资料本组7例小脑肿瘤中,男6例,女1例。年龄24—46岁,平均41.8岁。误诊为缺血性卒中4例,出血性卒中1例,消化性溃疡、神经衰弱各1例。脑脊液常规化验正常5例,蛋白升高2例。手术与病理证实小脑血管母细胞瘤2例,小脑星形细胞瘤2例,小脑多形性胶质细胞瘤、小脑髓母细胞瘤各1例。详见表。讨论小脑肿瘤出现头痛、呕吐,视神经乳头水肿等典型颅高压及小脑局灶性功能障碍时诊断不难。病理早期或症状不典型者常先就诊于内科,由于缺乏神经专科知识常易误诊,其
In recent years, I encountered atypical cerebellar tumors in 7 cases, were confirmed by skull CT, of which 6 cases confirmed by surgery and pathology, the reasons for misdiagnosis are as follows. Clinical data 7 cases of cerebellar tumors in this group, 6 males and 1 female. Age 24-46 years old, average 41.8 years old. Misdiagnosed as ischemic stroke in 4 cases, hemorrhagic stroke in 1 case, peptic ulcer, neurasthenia in 1 case. Normal routine cerebrospinal fluid assay in 5 cases, elevated protein in 2 cases. Surgical and pathological confirmed cerebellar hemangioblastoma in 2 cases, cerebellar astrocytoma in 2 cases, cerebellum glioblastoma, cerebellar medulloblastoma in 1 case. See table. Discussion Cerebellar tumor headache, vomiting, optic nerve head edema and other typical intracranial hypertension and cerebellar focal dysfunction is not difficult to diagnose. Early pathological or atypical symptoms often first visit to medicine, due to the lack of neurological specialist often misdiagnosed, its