17例小脑脓肿的临床分析

<正> 脑脓肿的发病部位以大脑半球居多,Hotte-Ville等统计421例脑脓肿,后颅窝脓肿仅25例;不过近来也有报告耳源性小脑脓肿有增加的趋势,夏国道等统计107例脑脓肿中,小脑脓肿占27例。后颅窝脓肿70％来自慢性化脓性乳突炎的直接或血行蔓延,其中80％以上形成小脑脓肿。本院统计1972年～1981年共收治脑脓肿59例,其中小脑脓肿17例,除2例无化肿性中耳炎和乳突炎以外,其余15例小脑脓脓都是属于耳

A CLINICAL ANALYSIS OF SEVENTEEN CASES OF CEREBELLAR ABSCESS

This article analyses the sexes, ages, symptoms, signs, courses of disease, treatments, prognoses, etc.of 17 patients with cerebellar abscess.Of the 17 patients, 12 were cured and 5 died.The cured rate was 70.6%, the case mortality rate being 29.4%.The sources of infection, symptomatology, operative treatments and their results are emphatically discussed.The infection of most cerebellar abscesses was due to pulurent middle ear mastoiditis.The commonest symptoms were headache(88.2% of the cases), vomiting(82.2%) and dizziness(70.6%), the so called triad of cerebellar abscess.Headache is often an early constant symptom with a cerebellar constrained posture.It is emphasized in this article that the selection of any operative way should be decided according to the concrete situation of each case and it should not be confined to a certain way.Some problems which are to be noticed in operation and some factors affecting prognosis of the disease are also presented.