Rosenberg G A, Kaufman D M
Stroke. 1976 Jul-Aug;7(4):332-6. doi: 10.1161/01.str.7.4.332.
Surgery without confirmatory radiological contrast studies has been advocated in patients suspected of having a cerebellar hemorrhage. To determine the reliabiligy of the clinical evaluation, records were reviewed of 33 patients in whom the diagnosis of cerebellar hemorrhage was initially suspected or subsequently confirmed. In 13 patients the correct diagnosis had been made initially by clinical evaluation, but in ten patients the correct diagnosis was not suspected at the initial evaluation. The remaining ten patients had typical backgrounds, symptoms, and signs of a spontaneous cerebellar hemorrhage, but radiological contrast studies and clinical observation indicated that other neurological lesions were responsible. Thus, utilizing solely the clinical evaluation, the diagnosis of cerebellar hemorrhage may be made only with difficulty and not with the certainty required for emergency surgery.
对于疑似小脑出血的患者，有人主张在未进行放射学造影检查的情况下进行手术。为了确定临床评估的可靠性，我们回顾了33例最初疑似或随后确诊为小脑出血患者的病历。13例患者最初通过临床评估做出了正确诊断，但10例患者在初次评估时未怀疑到正确诊断。其余10例患者有典型的自发性小脑出血背景、症状和体征，但放射学造影检查和临床观察表明是其他神经病变所致。因此，仅依靠临床评估，很难做出小脑出血的诊断，也无法达到急诊手术所要求的确定性。
