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对34例小脑梗塞患者进行了临床和影像学分析,表明冠心病、风心病、动脉粥样硬化、高血压病、高脂血症、糖尿病等可能为小脑梗塞的主要病因或危险因素,小脑梗塞以小脑上动脉(SCA)供应区最常见,大多为良性小灶性。且多数小脑梗塞伴有颅内其它部位的梗塞,而单纯性小脑梗塞较少见。小脑梗塞临床表现复杂多样,早期主要表现为眩晕、头痛、呕吐、步态不稳或倾倒等,但也有无症状性梗塞或被其它部位梗塞症状所掩盖,CT或MRI检查对早期诊断具有重要意义。梗阻性脑积水是小脑梗塞死亡的主要原因,因其保守治疗病死率高,宜尽早手术治疗。
The clinical and imaging analysis of 34 patients with cerebellar infarction showed that coronary heart disease, rheumatic heart disease, atherosclerosis, hypertension, hyperlipidemia, diabetes mellitus may be the main etiology or risk factors of cerebellar infarction, cerebellar infarction The most common area of SCA supply is mostly benign and focal. And most cerebellar infarction with infarction in other parts of the brain, and simple cerebellar infarction is rare. Clinical manifestations of cerebellar infarction complicated and diverse, early mainly manifested as dizziness, headache, vomiting, gait instability or dumping, but also asymptomatic infarction or other parts of the infarct symptoms covered by CT or MRI examination for the early diagnosis of great significance . Obstructive hydrocephalus is the leading cause of death from cerebellar infarction, due to its conservative treatment of high mortality, surgical treatment should be as soon as possible.