2型糖尿病合并小脑梗死15例临床与MRI影像分析

Clinical manifestation and magnetic resonance imaging(MRI)characteristics for 15 patients of type 2 diabetes combined with cerebellar infarction

目的研究2型糖尿病合并小脑梗死的临床表现及头颅磁共振成像(MRI)特征。方法对我院2008年4月～2011年4月期间收治的15例2型糖尿病合并小脑梗死患者进行临床资料总结及MRI分析。结果 2型糖尿病合并小脑梗死占同期2型糖尿病合并脑梗死的16.7%。MRI见单纯小脑梗死4例,合并脑干或其他部位梗死11例。单纯小脑梗死患者主要表现为头晕、呕吐、共济失调、构音障碍等症状,合并脑干或其他部位梗死的患者除上症之外,还常伴有头痛、肢体偏瘫、感觉障碍等症。结论 2型糖尿病合并小脑梗死并非罕见,应提高对该病临床表现及MRI特征的认识,积极排查2型糖尿病,早期控制血糖,以降低临床漏诊率及提高患者生存质量。

Objective To study the clinical manifestation and magnetic resonance imaging（MRI）characteristics of type 2 diabetes combined with cerebellar infarction.Methods The data of clinical features and MRI in 15 cases of type 2 diabetes combined with cerebellar infarction collected from April 2008 to April 2011 were reviewed and analyzed.Results Type 2 diabetes combined with cerebellar infarction accounted for 16.7% of all the type 2 diabetes combined with cerebral infarction during this period.MRI demonstrated 4 cases of cerebellar infarction,11 cases of cerebellar infarction accompanied by infarction of brain stem or other regions.Patients with cerebellar infarction mainly showed dizziness,vomiting,ataxia and dysarthria.Patients with cerebellar infarction accompanied by infarction of brain stem or other regions also exhibited headache,paralysis and dysesthesia,besides the aforementioned clinical manifestation.Conclusion Type 2 diabetes combined with cerebellar infarction is a common disease.Improving the knowledge of clinical manifestation and MRI characteristics of this disease is demanded.The aim of the early diagnosis and treatment of type 2 diabetes is to reduce the missed diagnosis rate and improve the quality of life.