| 无共济失调小脑梗死12例临床分析 |
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| 引用本文： | 王中原. 无共济失调小脑梗死12例临床分析[J]. 脑与神经疾病杂志, 2008, 16(5) |
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| 作者姓名： | 王中原 |
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| 作者单位： | 南京大学附属南京鼓楼医院神经内科,江苏,210008 |
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| 摘 要： | 目的:探讨无共济失调小脑梗死的临床特点、梗死区域及早期诊断对疾病预后的意义。方法:回顾性分析12例以眩晕为主要症状但无共济失调表现的小脑梗死的临床资料。结果:患者年龄58～78岁,CT检查未发现梗死灶,MRI阳性率为100%。脑梗死主要危险因素为高血压、糖尿病、高脂血症和心房颤动。11例患者小脑梗死的病灶主要位于单侧小脑半球后下部,属于小脑后下动脉(PICA)供血区域;1例小脑梗死的病灶位于小脑蚓部后部及其附近的两侧小脑半球,属于小脑后下动脉中间支(mPICA)供血区域。结论:无共济失调小脑梗死常见于PICA供血区。对于中老年眩晕患者,无论有无共济失调表现,都应完善MRI检查明确有无小脑梗死。
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| 关 键 词： | 小脑梗死 无共济失调 小脑后下动脉 |
Clinical analysis of 12 patients with cerebellar infarction presenting no ataxia |
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| WANG Zhong-yuan. Clinical analysis of 12 patients with cerebellar infarction presenting no ataxia[J]. Journal of Brain and Nervous Diseases, 2008, 16(5) |
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| Authors: | WANG Zhong-yuan |
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| Affiliation: | WANG Zhong-yuan Department of neurology; the affiliated Drum Tower Hospital of Nanjing University; Nanjing 210008; China; |
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| Abstract: | Objective:To explore the clinical characteristic,the territory of infarction in patients with cerebellar infarction presenting no ataxia,and to determine the importance of early diagnosis.Methods:Make a retrospective research on 12 cases of cerebellar infarction with no ataxia.Results:The patients of cerebellar infarction were 58~78 years old.All results of cranial CT were negative.The positive ratio of cranial MRI examination was 100%.The main risk factors were hypertention,diabetes,hyperlipidaemia and atr... |
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| Keywords: | cerebellar infarction no ataxia posterior inferior cerebellar artery |
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