Taneda M, Ozaki K, Wakayama A, Yagi K, Kaneda H, Irino T
J Neurosurg. 1982 Jul;57(1):83-91. doi: 10.3171/jns.1982.57.1.0083.
The authors review 15 patients with acute cerebellar infarction accompanied by obstructive hydrocephalus. These patients were among 1700 consecutive patients with acute cerebrovascular disease who were examined by angiography and also, except for the initial 320 cases. by computerized tomography (CT) scan. The CT scans were helpful in diagnosis and management of the patients. It demonstrated cerebellar mass lesions as being low density, isodense, or high density, according to the amount of hemorrhage into the infarcted area. Such cerebellar mass lesions caused acute compression of the posterior fossa. The clinical picture was determined mainly by the extent of the initially infarcted area in the vertebrobasilar territory and the speed of enlargement of the subsequently developing cerebellar mass lesion. Suboccipital decompressive surgery was performed in 10 patients and was generally beneficial. The postoperative prognosis depended mainly on the presence or absence of coexisting brain-stem infarction. Five patients who were managed conservatively died during the acute stage. Prompt and correct diagnosis of this illness is required to ensure adequate therapy.
作者回顾了15例伴有梗阻性脑积水的急性小脑梗死患者。这些患者是1700例连续的急性脑血管病患者中的一部分，这些患者均接受了血管造影检查，除最初的320例患者外，还接受了计算机断层扫描（CT）检查。CT扫描有助于患者的诊断和治疗。根据梗死区域内出血的量，它显示小脑肿块病变为低密度、等密度或高密度。这种小脑肿块病变导致后颅窝急性受压。临床表现主要取决于椎基底动脉区域最初梗死面积的大小以及随后发展的小脑肿块病变增大的速度。10例患者接受了枕下减压手术，总体效果良好。术后预后主要取决于是否存在并存的脑干梗死。5例接受保守治疗的患者在急性期死亡。需要及时、正确地诊断这种疾病，以确保进行充分的治疗。
