摘要
Abstract
Objective To study the clinical features of acute middle cerebellar peduncles infarction.Methods The clinical data of 27 patients with acute middle cerebellar peduncles infarction were analyzed retrospectively.Results This group patients had the manifestation of dizziness 20 cases,with unstable walking 9 cases; nausea,vomiting 10 cases,tinnitus 4 cases,hearing loss 5 cases,horizontal nystagmus 5 cases,ocular motility disorders 2 cases,peripheral facial paralysis 3 cases,central facial palsy 2 cases,upper motor neuron paralysis on one side 5 cases,quadriplegia 1 case,hemifacial sensory disturbance 4 cases,ataxia 9 cases.Head CT examination showed 10 cases (37％) with cerebellar peduncle infarction.Head MRI examination of 23 patients showed cerebellar peduncle with new infarction of long T1 WI,T2WI,DWI high signal (100％),including unilateral 21 cases,bilateral 2 cases.Conclusions The main manifestation of middle cerebellar peduncle infarction are vestibular nerve and cerebellar impairment,and including the manifestation of trigeminal nerve,facial nerve,abducens nerve and pyramidal tract impairment.The diagnostic accuracy of MRI on it is very high,should be used as the first choice for examination.关键词
桥臂/脑梗死/临床特点/MRIKey words
middle cerebellar peduncles / cerebral infarction / clinical features / MRI分类
医药卫生
