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自发性小脑内出血并非少见,约占颅内出血的 10%,大多由高血压引起,占50～70%。以往认为小脑内出血预后差。作者报告17例本病患者并复习有价值的文献,以便认识本病预后良好者的特征。 17例中除2例入院后死亡外,其余全部作了电子计算机体层扫描(CT)检查,3例作了尸检。9例未经手术获得恢复,其中2例血肿最大直径大于4 cm,1例昏迷,3例昏睡,7例出血波及小脑蚓部,1例波及脑干。4例复查CT示血肿完全或部份吸收。17例中仅4例有明确的高血压史。许多作者都同意Fisher等的观点:小脑出血的临床表现是“多形性”的。最明显的症状是头痛、恶
Spontaneous intracerebral hemorrhage is not uncommon, accounting for about 10% of intracranial hemorrhage, mostly caused by high blood pressure, accounting for 50 to 70%. In the past that the poor prognosis of cerebellar hemorrhage. The authors report 17 patients with this disease and review the valuable literature in order to recognize the characteristics of this disease with good prognosis. Of the 17 patients, 2 patients were admitted to hospital and all others were examined by computed tomography (CT) and 3 patients were autopsy. Nine cases were recovered without surgery. Among them, 2 cases had hematoma larger than 4 cm in diameter, 1 case coma, 3 cases drowsiness, 7 cases hemorrhage and cerebellar vermis, and 1 case affected brainstem. 4 cases of reexamination CT showed hematoma completely or partially absorbed. Only 4 of the 17 patients had a clear history of hypertension. Many authors agree with Fisher et al. That the clinical manifestations of cerebellar hemorrhage are “pleomorphic.” The most obvious symptom is headache, evil