王娟 1刘京让 1张美娇 2腾东 1李德德 1陈丽薇 1张星1
作者信息
- 1. 河南科技大学附属黄河三门峡医院神经内科,河南 三门峡 472001
- 2. 大连理工大学附属中心医院(大连市中心医院)神经内科,辽宁 大连 116033
- 折叠
摘要
Abstract
Objective To investigate the clinical features and etiology of bilateral middle cerebellar peduncle le-sion.Methods A retrospective analysis was performed for the clinical and imaging data of 59 patients who underwent cra-nial magnetic resonance imaging(MRI)in Central Hospital Affiliated to Dalian University of Technology and Yellow River Sanmenxia Hospital and were found to have abnormal signals of bilateral middle cerebellar peduncles,and a descriptive analysis was performed.Results As for clinical manifestations,among the 59 patients,there were 23 patients with uni-lateral limb weakness,21 patients with dizziness,12 patients with slurred speech,8 patients with walking instability and limb numbness,2 patients with drinking cough,dysphagia,double vision,and weakness of both lower limbs,1 patient with limb tremor and bradykinesia,and 3 patients without symptoms.As for clinical diagnosis,among the 59 patients,there were 42 with Wallerian degeneration,4 with acute cerebral infarction,3 with demyelinating diseases of the central nervous system,3 with hypertensive encephalopathy,2 with multiple system atrophy,1 with parkinsonism,1 with the pos-sibility of neuronal intranuclear inclusion disease,1 with hypoparathyroidism and intracranial calcification,1 with central nervous system lymphoma,and 1 with the possibility of ischemic or metabolic encephalopathy.Conclusion There are complex and diverse etiologies for bilateral middle cerebellar peduncle lesion,with Wallerian degeneration as the most common clinical diagnosis.Other diseases,such as acute cerebrovascular disease,inflammatory demyelinating diseases,neurodegenerative diseases,neoplastic diseases,and inherited metabolic diseases,can also be comorbid with bilateral middle cerebellar peduncle lesion.关键词
桥臂/临床特征/病因学Key words
Middle cerebellar peduncles/Clinical features/Etiology分类
医药卫生
