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CT 问世以前,小脑出血根据临床表现较难确诊,多需尸检或手术证实。仅有眩晕,走路不稳,常易误诊为眩晕综合征及美尼尔氏综合征。作者曾遇4例表现为眩晕而无小脑体征的小脑出血早期在做头部 CT 以前均全部误诊,现分析报道如下。女,13岁,回答教师提问时急起头痛,视物旋转10分钟。查体,BP110/70mmHg,神清,无小脑体征。入院后10h 出现强迫头位。误诊为内耳眩晕病。头颅
Before the advent of CT, cerebellar hemorrhage more difficult to diagnose based on clinical manifestations, mostly autopsy or surgery confirmed. Only dizziness, walking instability, often easily misdiagnosed as dizziness syndrome and Meniere’s syndrome. The authors have encountered in 4 cases of vertigo cerebellum without cerebellar signs of early bleeding in the head before CT are all misdiagnosed, are analyzed and reported as follows. Female, 13 years old, answering the teacher’s questions, a sudden headache, depending on the material rotation for 10 minutes. Physical examination, BP110 / 70mmHg, God clear, no cerebellar signs. 10h after admission forced head position. Misdiagnosed as inner ear vertigo. Skull