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目的探讨小脑梗死的病因、临床表现、影像学改变、诊断与治疗。方法对1999年9月-2006年9月芜湖市第一人民医院收治的26例小脑梗死患者的临床资料进行回顾性分析。结果男性19例,女性7例,45～79岁为高发年龄,病因及危险因素为:高血压、糖尿病、高脂血症、冠心病,最主要的临床表现为:眩晕、小脑性共济失调。结论小脑梗死极易误诊,通过详细神经系统检查,结合影像学检查是诊断小脑梗死的关键。且头颅MR I确诊小脑梗死优于头颅CT,一般采用内科保守治疗,病情严重者应外科手术,防治脑疝。
Objective To investigate the etiology, clinical manifestations, imaging changes, diagnosis and treatment of cerebellar infarction. Methods The clinical data of 26 patients with cerebellar infarction admitted to the First People’s Hospital of Wuhu City from September 1999 to September 2006 were analyzed retrospectively. Results There were 19 males and 7 females. The age at 45-79 years was high. The etiology and risk factors were hypertension, diabetes mellitus, hyperlipidemia and coronary heart disease. The main clinical manifestations were vertigo, cerebellar ataxia . Conclusions Cerebral infarction is easily misdiagnosed. Through detailed neurological examination combined with imaging examination is the key to diagnosing cerebellar infarction. And cranial MRI diagnosis of cerebellar infarction is better than the head CT, generally conservative treatment of internal medicine, severe cases should be surgery, prevention and treatment of cerebral hernia.