目的分析小脑梗死临床特点及误诊原因,以提高诊断率。方法回顾性分析21例小脑梗死误诊病例临床资料。结果小脑梗死临床表现缺乏特异性,易误诊漏诊。本组误诊率19.3%。分别误诊为椎基底动脉供血不足、Meniere’s综合征、消化道出血,颈椎病、高血压、脑干梗死、冠心病。结论对于头痛、头晕或眩晕伴或不伴呕吐者应警惕小脑梗死,及时行头颅CT或MRI检查助诊。 Objective To analyze the clinical characteristics and the causes of misdiagnosis of cerebellar infarction in order to improve the diagnosis rate. Methods The clinical data of 21 patients with misdiagnosis of cerebellar infarction were retrospectively analyzed. The results of the lack of specificity of clinical manifestations of cerebellar infarction, misdiagnosis missed diagnosis. Misdiagnosis rate of 19.3% in this group. Misdiagnosed as vertebrobasilar insufficiency, Meniere’s syndrome, gastrointestinal bleeding, cervical spondylosis, hypertension, brainstem infarction, coronary heart disease. Conclusion For headache, dizziness or vertigo with or without vomiting should be alert to cerebellar infarction, timely cranial CT or MRI examination.