Messert B, Leppik I E, Sato S
Stroke. 1976 May-Jun;7(3):305-7. doi: 10.1161/01.str.7.3.305.
Spontaneous cerebellar hemorrhage is of difficult clinical diagnosis. The causes can be varied, but the hemorrhage is most often associated with hypertensive cardiovascular disease. The neurological symptomatology is complex and often misleading. The diagnosis is mainly dependent of familiarity of the eye signs seen in this disease. Among these, the spontaneous unilateral eye closure is presented as an additional striking manifestation. The displacement of the brain stem by the hematoma is frequently associated with a seventh nerve palsy on the side of the hemorrhage. The patient in an effort to obviate the diplopia caused by the gaze dissociations and extraocular motor palsies, has only the option to close the eye on the noninvolved side of the face, and thus the eye remaining open is on the side of the cerebellar hematoma. This paper presents reports of two patients with these symptoms.
自发性小脑出血临床诊断困难。病因多种多样，但出血最常与高血压性心血管疾病相关。神经症状复杂，常常具有误导性。诊断主要取决于对该病眼部体征的熟悉程度。其中，自发性单侧眼睑闭合是一种额外的显著表现。血肿导致的脑干移位常伴有出血侧的面神经麻痹。患者为避免因凝视分离和眼外肌麻痹引起的复视，只能选择闭上面部未受累侧的眼睛，因此仍睁开的眼睛位于小脑血肿侧。本文报告了两名有这些症状的患者。
