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原发性良性型小脑出血,文献报告不多。本文兹将我们所经治2例的体会报告如下。例1:男,52岁。于入院前1天无明显诱因突然眩晕、恶心、呕吐7—8次/日,转头时加重,但无耳鸣、耳聋。逐渐加重而于次日入院。既往有高血压史。入院时检查:血压140/85mmHg,一般内科检查正常。神志清晰,言语流利,水平性眼震,双瞳孔等大,对光反射正常,不敢转头,无颈强,四肢肌力和肌张力正常,双下肢共济运动障碍,感觉正常,四肢腱反射减弱,Kernig氏征(-),病理反射(-)。眼底动脉细,部分动静脉压迹,乳头无水肿。腰穿压力150/120mmH_2O,脑脊液常规化验正常。白细胞14000/m~3,分类正常,红细胞450万/m~3。初步诊断前廷神经无炎。入院后第3天CT检查,在OM线上3cm层面上,
Primary benign cerebellar hemorrhage, the literature reported little. This article will be treated by our experience of 2 cases are as follows. Example 1: Male, 52 years old. One day before admission, there is no obvious incentive to suddenly dizziness, nausea, vomiting 7-8 times / day, increased when the head turned, but no tinnitus and deafness. Gradually aggravated and admitted to hospital the next day. Past history of hypertension. Admission examination: blood pressure 140 / 85mmHg, the general medical examination was normal. Conscious clarity, fluent speech, horizontal nystagmus, double pupil and other large, normal light reflex, afraid to turn around, neckless, normal muscle strength and muscle tone, lower extremity ataxia disorders, feeling normal limbs tendon Reflex reduction, Kernig’s sign (-), pathological reflex (-). Fundus artery fine, some arteriovenous pressure trace, nipple edema. Waist wear pressure 150 / 120mmH_2O, CSF routine laboratory tests. White blood cells 14000 / m ~ 3, normal classification, 4.5 million red blood cells / m ~ 3. The initial diagnosis of tingling no inflammation. The first 3 days after admission CT examination, OM line 3cm level,