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双侧小脑中脚梗死表现为眩晕和听力障碍，酷似周围性前庭病。

Bilateral Middle Cerebellar Peduncle Infarction Presenting With Vertigo and Hearing Impairment Mimicking Peripheral Vestibulopathy.

作者信息

Ramli Nur Amalina, Abdul Halim Sanihah, Aziz Mohd Ezane

机构信息

Department of Internal Medicine (Neurology), School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, MYS.

Brain and Behaviour Cluster, School of Medical Sciences, Universiti Sains Malaysia Specialist Hospital, Kubang Kerian, MYS.

出版信息

Cureus. 2024 Dec 12;16(12):e75623. doi: 10.7759/cureus.75623. eCollection 2024 Dec.

DOI:10.7759/cureus.75623
PMID:39678002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11646164/
Abstract

Bilateral middle cerebellar peduncle (MCP) infarction is a rare manifestation of ischemic stroke. We report a middle-aged male patient who presented with acute onset of vertigo, left ear deafness, and severe ataxia. Magnetic resonance imaging (MRI) of the brain confirmed the presence of infarction in the bilateral middle cerebellar peduncles due to stenosis of the posterior circulation arteries. This case highlights the importance of recognizing this clinical syndrome, as the symptoms may resemble those of peripheral vestibulopathy. Timely recognition is of paramount importance, given that untreated posterior circulation stroke can result in poor neurological outcomes.

摘要

双侧小脑中脚梗死是缺血性卒中的一种罕见表现。我们报告一名中年男性患者，其出现急性眩晕、左耳失聪和严重共济失调。脑部磁共振成像（MRI）证实由于后循环动脉狭窄，双侧小脑中脚存在梗死。该病例凸显了认识这一临床综合征的重要性，因为其症状可能类似于外周前庭病变。鉴于未经治疗的后循环卒中可导致不良神经学后果，及时识别至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0011/11646164/0c2c6eaab4ac/cureus-0016-00000075623-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0011/11646164/0c2c6eaab4ac/cureus-0016-00000075623-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0011/11646164/0c2c6eaab4ac/cureus-0016-00000075623-i01.jpg

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Bilateral Middle Cerebellar Peduncle Infarction Presenting With Vertigo and Hearing Impairment Mimicking Peripheral Vestibulopathy.双侧小脑中脚梗死表现为眩晕和听力障碍，酷似周围性前庭病。
Cureus. 2024 Dec 12;16(12):e75623. doi: 10.7759/cureus.75623. eCollection 2024 Dec.
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本文引用的文献

1
Infarct of the Middle Cerebellar Peduncle Mimicking Bell's Palsy: A Case Report.酷似贝尔麻痹的小脑中脚梗死：一例报告
Cureus. 2024 Aug 22;16(8):e67533. doi: 10.7759/cureus.67533. eCollection 2024 Aug.
2
Evaluation of Clinical Features and Stroke Etiology in Patients with Bilateral Middle Cerebellar Peduncle Infarction.双侧小脑中脚梗死患者的临床特征和卒中病因评估。
Eur Neurol. 2020;83(3):271-278. doi: 10.1159/000508835. Epub 2020 Jul 24.
3
The endovascular treatment of bilateral infarction of middle cerebellar peduncles. Etiology and endovascular treatment analysis.
双侧小脑中脚梗死的血管内治疗。病因及血管内治疗分析。
Neurosciences (Riyadh). 2017 Jan;22(1):56-61. doi: 10.17712/nsj.2017.1.20160169.
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Endovascular Mechanical Thrombectomy with the Solitaire Device for the Treatment of Acute Basilar Artery Occlusion.使用Solitaire装置进行血管内机械取栓治疗急性基底动脉闭塞
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Neurology. 2001 Mar 13;56(5):693-4. doi: 10.1212/wnl.56.5.693.
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The anterior inferior cerebellar artery infarcts: a clinical-magnetic resonance imaging study.小脑下前动脉梗死：一项临床-磁共振成像研究
Acta Neurol Scand. 1998 Apr;97(4):225-30. doi: 10.1111/j.1600-0404.1998.tb00642.x.
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Cerebellar infarction in the territory of the anterior and inferior cerebellar artery. A clinicopathological study of 20 cases.小脑前下动脉供血区的小脑梗死。20例临床病理研究。
Brain. 1990 Feb;113 ( Pt 1):139-55. doi: 10.1093/brain/113.1.139.