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小脑梗塞急性期通常以保守治疗为主。当脑水肿较广泛,形成梗阻性脑积水,进而压迫脑干,使意识水平迅速下降时,外科减压术效果较显著。作者对10例重症小脑梗塞患者行脑室外引流术和后颅凹减 压术,并对其急性临床病程和长期预后进行了分析。患者年龄49～73岁,平均59岁。男7例,女3例。既往有糖尿病6例,高血压5例,房颤2例。有9例患者于发病急性期行脑血管造影,梗塞部位:单侧椎动脉
Acute cerebellar infarction is usually dominated by conservative treatment. When the brain edema is more extensive, the formation of obstructive hydrocephalus, and then oppression of the brainstem so that the level of consciousness decreased rapidly, the effect of surgical decompression is more significant. The authors performed ventricular drainage and posterior fossa decompression in 10 patients with severe cerebellar infarction and analyzed their acute clinical course and long-term prognosis. Patients aged 49 to 73 years, mean 59 years. 7 males and 3 females. Previously, 6 cases of diabetes, 5 cases of hypertension, 2 cases of atrial fibrillation. Nine patients had acute cerebrovascular angiography at the onset of infarction: unilateral vertebral artery