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小脑梗塞较少见,而且缺乏指导性的症状和体征,故易误诊。若治疗不及时,死亡率较高。我院87和88两年中经CT证实的小脑梗塞有四例,现报告如下:例1 女,67岁,87年4月2日入院。二天前晨起突感眩晕、恶心、作呕,右侧肢体无力,走路不稳。以往有高血压病史17年。检查:血压25.527/13.33Kpa,神志清,眠底示Ⅱ~0动脉硬化。有轻度眼球水平震颤。右上下肢肌力Ⅳ~0,左侧正常。右侧腱反射比左侧低。右侧指鼻试验及跟膝胫试验不准确。CT示右侧小脑半球小片梗塞。经药物治疗,病情痊愈出院。
Cerebellar infarction is rare, and the lack of guiding symptoms and signs, it is easy to misdiagnosis. If the treatment is not timely, the mortality rate is higher. Four cases of CT-confirmed cerebellar infarction in our hospital during 87 and 88 years are reported as follows: Example 1 Female, 67 years old, admitted to hospital on April 2, 1987. Two days ago morning suddenly felt dizzy, nausea, nausea, weakness of the right limbs, walking instability. Have a history of hypertension in the past 17 years. Check: blood pressure 25.527 / 13.33Kpa, clear mind, sleepy bottom showed Ⅱ ~ 0 atherosclerosis. A slight eye level tremor. Right upper quadrant muscle strength Ⅳ ~ 0, left normal. The right tendon reflex is lower than the left. The right finger nose test and knee tibia test are not accurate. CT showed right cerebellar hemispheric infarction. After medical treatment, the disease was cured and discharged.