Komuro Ayako, Kurabayashi Hitoshi, Sasaki Yoshie, Sugiura Toru, Hishinuma Akiko, Majima Mitsuru
a Department of Rehabilitation Medicine , Saitama Medical University , Saitama , Japan.
Neurocase. 2014 Jun;20(3):260-2. doi: 10.1080/13554794.2013.770875. Epub 2013 Mar 25.
Cerebellar stroke rarely causes disorders of higher brain function such as cognitive deficits and emotional dysfunction; hence, the prognosis of these patients is uncertain. We report the case of a 34-year-old patient with cerebellar hemorrhage due to arteriovenous malformation causing higher brain dysfunction who was able to return to full-time employment after neurocognitive rehabilitation. Cerebellar stroke caused by nonatherosclerotic diseases or diaschisis may lead to cognitive deficits but these symptoms can be reversed by appropriate therapy. It is important to assess higher brain function in cerebellar stroke patients and to tailor neurocognitive rehabilitation programs appropriately to promote functional recovery.
小脑中风很少导致高级脑功能障碍，如认知缺陷和情绪功能障碍；因此，这些患者的预后尚不确定。我们报告了一例34岁因动静脉畸形导致小脑出血并引起高级脑功能障碍的患者，该患者在接受神经认知康复治疗后能够重返全职工作岗位。由非动脉粥样硬化性疾病或交叉性神经机能联系障碍引起的小脑中风可能导致认知缺陷，但这些症状可通过适当治疗得到逆转。评估小脑中风患者的高级脑功能并适当调整神经认知康复计划以促进功能恢复非常重要。
