小脑梗死52例临床分析  

Clinical analysis of 52 patients with cerebellar infarction

作　　者：江汉秋[1] 刘群[1] 范佳[1] 

机构地区：[1]吉林大学第一医院神经内科,吉林长春130021

出　　处：《中风与神经疾病杂志》2005年第1期64-66,共3页Journal of Apoplexy and Nervous Diseases

摘　　要：目的　深入探讨小脑梗死的病因、临床表现、影像学改变、诊断及治疗。方法　对 1997年 4月～ 2 0 0 2年 11月我院收治的 5 2例小脑梗死患者的临床资料进行回顾性分析。结果　该病 5 1～ 6 0岁为高发年龄段 ,病因及危险因素主要为高血压病及心脏病。最主要的临床表现为眩晕、小脑性共济失调。此外 ,头痛重要又易被忽视 ,占本组患者的 32 .7%。头部 CT4 8h内阳性率 30 .8%。头部 MRI确诊率 10 0 %。 4 6例经内科保守治疗 ,6例行外科手术治疗 ,总治愈率 4 8.1% ,死亡率 5 .8% ,脑疝为主要死因。结论　中老年人持续出现眩晕、共济失调要注意小脑梗死的可能 ,头部 MRI确诊小脑梗死优于头部 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 explore the etiology,clinical manifestations,the changes of CT/MRI,diagnosis as well as the optimum treatment program and enhance the recognition to cerebellar infarction. Methods We performed retrospective analysis to the original data of the 52 cerebellar infarction patients during the period of 1997～2002. Results Most patients of cerebellar infarction were 51～60 years old. The main etiology and risking factors were hypertension and heart diseases. The typical clinical manifestations were vertigo and cerebellar ataxia. In addition,headache was also common and important. The positive ratio of cranial CT examination in 48 hours was 30.8%. The positive ratio of cranial MRI examination was 100%. In 52 patients,6 patients were treated by surgical method.. The total healing rate was 48.1%,mortality rate was 5.8%. The cerebral herniation was the most important death reason. Conclusion The results showed if the elder persons had vertigo and ataxia lasting,we should pay attention to the patients with cereberall infarction probably. The clinical MRI examination had obvious superiority comparing with CT. Generally,the patients were treated by medical method. However,if the cases were serious we should adopt surgical method to prevent and cure ventricle.

关 键 词：小脑梗死 内科保守治疗 头部CT 眩晕 脑疝 患者 MRI 阳性率 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R742[医药卫生—临床医学]