Philippon J, Cornu P
Service de neurochirurgie, hôpital de la Salpêtrière, Paris.
Rev Prat. 1990 May 1;40(13):1180-5.
Vascular accidents of the cerebellum include heamorrhages and infarctions. These two pathologies share the same clinical symptoms and the same potential severity due to the sudden creation of an expansive cerebellar process (haematoma or infarct). Owing to acute compression of the brain stem and of CSF channels in the posterior fossa, and to the resulting supratentorial obstructive hydrocephalus, cerebellar vascular accidents are acute neurosurgical emergencies. Although the diagnosis and prognosis of the lesions have been transformed by computerized tomography of the brain, they remain extremely serious. This underlines the need for early detection, especially since, unlike vascular accidents of the brain, their functional sequelae after treatment are moderate.
小脑血管意外包括出血和梗死。这两种病变具有相同的临床症状，且由于突然形成的小脑占位性病变（血肿或梗死）而具有相同的潜在严重性。由于脑干和后颅窝脑脊液通道的急性受压，以及由此导致的幕上梗阻性脑积水，小脑血管意外属于急性神经外科急症。尽管脑部计算机断层扫描改变了病变的诊断和预后，但它们仍然极其严重。这突出了早期检测的必要性，特别是因为与脑血管意外不同，治疗后其功能后遗症较为轻微。
