维生素B_(12)缺乏致小脑梗死误诊病例报告  

Report of Misdiagnosed Case of Cerebellar Infarction Caused by Vitamin B_(12) Deficiency

作　　者：吕洋 杨燕 刘文君 郑建雄 陶凯 LYU Yang;YANG Yan;LIU Wenjun;ZHENG Jianxiong;TAO Kai(General Hospital of Western War Areas of the Chinese People’s Liberation Army,Chengdu 610083,China;不详)

机构地区：[1]中国人民解放军西部战区总医院,四川成都610083

出　　处：《中外医学研究》2022年第28期115-118,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：国家自然科学基金项目(82101467)。

摘　　要：目的:探讨小脑梗死(cerebellar infarction,CI)的误诊原因及维生素B与脑梗死关系。方法:回顾性分析1例维生素B缺乏致CI误诊资料。结果:患者青年男性,因头晕,行走不稳1 d于外院就诊,行头颅CT检查未见确切异常,诊断眩晕综合征,予以相应处理后症状无缓解。入中国人民解放军西部战区总医院结合头颅CT结果提示右侧CI,行脑梗死规范化治疗16 d后好转出院,期间搜索脑梗死原因中发现维生素B缺乏。结论:临床上CI误诊较为常见,尤其是青年患者,急诊医学科医师在接诊青年患者时需考虑CI可能,其中维生素B缺乏者尤甚,降低误诊率。Objective:To explore the causes of misdiagnosis of cerebellar infarction (CI) and the relationship between vitamin Band cerebral infarction.Method:A case of misdiagnosis data of CI caused by vitamin Bdeficiency was analyzed retrospectively.Result:The patient was a young male who was hospitalized for dizziness and walking instability for 1 day.No definite abnormality was found in the cranial CT examination.Vertigo syndrome was diagnosed and the symptoms were not relieved after corresponding treatment.After being admitted to General Hospital of Western War Areas of the Chinese People’s Liberation Army and combined with the cranial CT results,prompting the right CI.After 16 days of standardized treatment for cerebral infarction,he was improved and discharged.During this period,vitamin Bdeficiency was found in the search for the causes of cerebral infarction.Conclusion:CI misdiagnosis is common in clinic,especially in young patients.Emergency medical physicians should consider the possibility of CI when receiving young patients,especially those with vitamin Bdeficiency,so as to reduce the misdiagnosis rate.

关 键 词：维生素B_(12)缺乏 小脑梗死 误诊 

分 类 号：R591.424[医药卫生—内科学] R743.3[医药卫生—临床医学]