Long J, Liang Y, Luo L
Department of Neurology, Beijing Tiantun Hospital.
Zhonghua Nei Ke Za Zhi. 1991 Mar;30(3):154-6, 188.
The clinical manifestations of cerebellar infarction are often non-particular and it is difficult to make such a diagnosis clinically. Diagnosis was based on pathology previously. Most of the cases were overlooked while still living and the true morbidity was not known. CT scan has made the diagnosis of this disease possible clinically in some patients, but CT is still not an ideal instrument for diagnosing this disease because of the interference by bony artifacts of posterior fossa. The advent of MRI made it possible to distinguish cerebellar infarction safely and easily. It is not the most powerful tool for diagnosing this disease. The authors reported 15 cases of cerebellar infarction diagnosed by clinical manifestation, neuroimages and pathology and pointed out that further knowledge of this disease is needed.
小脑梗死的临床表现往往不具有特异性，临床上很难做出诊断。以往诊断主要依据病理。大多数病例在生前被漏诊，真实发病率不明。CT扫描使部分患者在临床上诊断该病成为可能，但由于后颅窝骨质伪影的干扰，CT仍不是诊断该病的理想手段。MRI的出现使得安全、简便地区分小脑梗死成为可能。它并非诊断该病的最有力工具。作者报道了15例经临床表现、神经影像学及病理诊断的小脑梗死病例，并指出需要对该病有进一步的认识。
