小脑梗死18例临床分析

The clinical analysis of 18 cases of cerebellar infarction

目的 探讨小脑梗死的临床特点。方法 分析 18例小脑梗死的病因、临床表现、MRI及预后。结果 动脉硬化是主要病因 ,单纯小脑梗死少见 ,小梗死 (直径≤ 2 .0cm)远较大面积梗死多见 ,临床表现复杂多样 ,MRI对早期诊断有重要帮助。本组总体预后较好 ,梗阻性脑积水是主要死因。结论 认识本病的临床特点 ,及时诊断可使病人获得正确治疗 。

Objective To explore the clinical characters of cerebellar infarction.Methods To analyse the causes,clinical manifestations,MRI and prognosis of 18 cases of cerebellar infarction.Results Atherosclerosis is the main cause.Pure cerebellar infarction is rare and the small infarctions are much more common than the mass infarctions.Clinical manifestations are complicated.MRI plays an important part in the diagnosis of cerebellar infarction.The prognosis is better in these cases,obstructive hydrocephalus is the main cause of mortality.Conclusion Recognizing the clinical characters of this disease and diagnosing in time can maintain a proper management and reduce the mortality.