Dong Qihao, Jing Guoxian, Han Ju
Department of Neurology, Qianfoshan Hospital Affiliated to Shandong University, Jinan, Shandong, China.
Neurosciences (Riyadh). 2017 Jan;22(1):56-61. doi: 10.17712/nsj.2017.1.20160169.
Infarction of the symmetrical middle cerebellar peduncles is often induced by ischemic cerebrovascular disease. Adams described the anterior inferior cerebellar artery (AICA) syndrome as early as 1943, but clinical and imaging studies following this failed to shed more light regarding the condition until the advent of magnetic resonance imaging that comprehension regarding AICA improved significantly. Infarction of the middle cerebellar peduncles (MCP) is uncommon and the endovascular treatment of this condition is even more rare. We studied 4 patients with simultaneous bilateral cerebellar infarction of whom 2 received intracranial vascular therapy and demonstrated improvement in symptoms. Our findings suggest that patients with vertebral basilar artery stenosis with potential bilateral cerebellar infarction may benefit from endovascular treatment.
对称性小脑桥脑臂梗死常由缺血性脑血管病引起。早在1943年，亚当斯就描述了小脑前下动脉（AICA）综合征，但在此之后的临床和影像学研究未能对该病症有更多了解，直到磁共振成像出现后，对AICA的认识才显著提高。小脑桥脑臂（MCP）梗死并不常见，而针对这种病症的血管内治疗更为罕见。我们研究了4例同时发生双侧小脑梗死的患者，其中2例接受了颅内血管治疗，症状有所改善。我们的研究结果表明，患有椎基底动脉狭窄且有潜在双侧小脑梗死的患者可能从血管内治疗中获益。
