Laun A, Busse O, Calatayud V, Klug N
Acta Neurochir (Wien). 1984;71(3-4):295-306. doi: 10.1007/BF01401324.
The authors report seven cases of cerebellar infarcts in the distribution of the PICA, of whom six were treated surgically. Only one patient died and he was not operated on. Although of the remaining six patients four were comatose, and two presented obvious signs of midbrain decerebration, all of them subsequently showed a really good quality of survival. In addition to the clinical details of the cases which are set out in tabular form, a survey of the literature is given and the indications for surgical treatment discussed. The exact interpretation of the CT scan and, in this context, particularly of the brain stem and its surrounding cisterns, above all the cisterns of the quadrigeminal plate and of the vein of Galen, gives decisive help in assessing the indications for suboccipital decompressive craniotomy. In view of the small number of cases, expressing the mortality rate in percentages would seem to be pointless. However, it appears appropriate to describe our experiences of the last two years and to recommend surgical treatment.
作者报告了7例小脑后下动脉分布区的小脑梗死病例，其中6例接受了手术治疗。仅1例患者死亡，且未接受手术。其余6例患者中，4例昏迷，2例出现明显的中脑去大脑强直体征，但所有患者随后均显示出良好的生存质量。除了以表格形式列出病例的临床细节外，还对文献进行了综述并讨论了手术治疗的指征。对CT扫描的准确解读，在此背景下，尤其是对脑干及其周围脑池，尤其是四叠体板脑池和大脑大静脉池的准确解读，对评估枕下减压性颅骨切开术的指征有决定性帮助。鉴于病例数量较少，以百分比表示死亡率似乎没有意义。然而，描述我们过去两年的经验并推荐手术治疗似乎是合适的。
