Ramphul N, Geary U
Department of Emergency Medicine, St James's Hospital, Dublin, Republic of Ireland.
Emerg Med J. 2009 Apr;26(4):303-4. doi: 10.1136/emj.2007.055905.
Early MRI, available 24 h a day and at weekends, will make a timely diagnosis in cases of cerebellar infarct and a normal initial CT scan does not exclude it. In many emergency departments MRI is not as routinely available out of hours as CT. It is important to appreciate the varied symptomatology and signs of cerebellar infarcts in order to avoid misdiagnosis or delayed diagnosis and to remember that, apart from requiring treatment with anticoagulation for the cerebellar infarct itself, the complications of cerebellar infarct may require surgical intervention. Vertebral artery dissection as a cause of cerebellar infarct may require anticoagulation or endovascular therapy.
早期MRI检查每天24小时均可进行，周末也不例外，对于小脑梗死病例能够做出及时诊断，而初始CT扫描正常并不能排除小脑梗死。在许多急诊科，MRI在非工作时间不像CT那样常规可用。认识到小脑梗死的各种症状和体征很重要，以避免误诊或延迟诊断，并且要记住，除了小脑梗死本身需要抗凝治疗外，小脑梗死的并发症可能需要手术干预。椎动脉夹层作为小脑梗死的病因可能需要抗凝或血管内治疗。
