小脑蚓部：缺血性卒中溶栓后远隔部位脑出血的一个易损部位。
Cerebellar vermis: a vulnerable location of remote brain haemorrhages after thrombolysis for ischaemic stroke.
作者信息
Tejada-Meza Herbert, Modrego Pedro J
机构信息
Department of Neurology, Hospital Miguel Servet, 50009, Saragossa, Spain.
出版信息
Neurol Sci. 2017 Jan;38(1):185-187. doi: 10.1007/s10072-016-2728-1. Epub 2016 Oct 5.
Extra-ischaemic (remote) brain heamorrhages after thrombolysis for ischaemic stroke occur in less than 3 % of treated patients, but it worsens prognosis. Little attention has been paid to the location of the haematomas. Among 12 patients with remote brain haemorrhage after thrombolysis, we report three patients with haemorrhage in the cerebellar vermis (25 %), with poor outcome. Previous hypertensive vasculopathy is deemed to be the most plausible cause.
缺血性卒中溶栓治疗后发生的脑外（远隔部位）出血在不到3%的接受治疗患者中出现，但会使预后恶化。血肿的位置很少受到关注。在12例溶栓后发生远隔部位脑出血的患者中，我们报告了3例小脑蚓部出血患者（占25%），预后较差。既往高血压性血管病变被认为是最可能的病因。
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