Sarikaya Hakan, Steinlin Maja
Neurology Department, University Hospital Bern, Bern, Switzerland.
Pediatric Neurology, Inselspital University Children's Hospital, University of Bern, Bern, Switzerland.
Handb Clin Neurol. 2018;155:301-312. doi: 10.1016/B978-0-444-64189-2.00020-2.
Stroke in older age has reached epidemic proportions worldwide, and an increasing incidence has also been recognized in young adults and children. This chapter deals with stroke occurring in the cerebellum. Cerebellar stroke may present in a completely different way from common stroke syndromes in the anterior cerebral circulation. It can initially mimic benign vestibular neuritis and may later deteriorate into a life-threatening neurologic state. Posterior circulation stroke presents similarly in children and adults. However, the possibly mild symptoms and signs at onset are frequently overlooked by parents and also by healthcare professionals. We therefore aim to discuss the clinical presentation, treatment, causes, and prognosis of cerebellar stroke in both adults and children. Important differences between children and adults are discussed after each section.
老年中风在全球已达到流行程度，并且在年轻人和儿童中也认识到发病率在上升。本章讨论发生在小脑的中风。小脑中风可能以与大脑前循环中常见中风综合征完全不同的方式出现。它最初可能类似良性前庭神经炎，随后可能恶化为危及生命的神经状态。儿童和成人的后循环中风表现相似。然而，发病时可能出现的轻微症状和体征常常被家长以及医疗保健专业人员忽视。因此，我们旨在讨论成人和儿童小脑中风的临床表现、治疗、病因及预后。每部分之后将讨论儿童和成人之间的重要差异。
