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目的 探讨小脑卒中误诊的原因。方法 回顾近 4年来我院 2 5例小脑出血及小脑梗死患者的临床资料。结果 误诊为椎基底动脉供血不足 11例 ,蛛网膜下腔出血 4例 ,幕上病变 3例 ,高血压脑病 2例 ,慢性酒精中毒、Menier’s病、后颅凹肿瘤及上消化道出血各 1例。结论 误诊原因多系对小脑卒中认识不足 ,查体不全面仔细及CT检查对部分患者的局限性所致。
Objective To investigate the causes of misdiagnosis of cerebellar. Methods The clinical data of 25 patients with cerebellar hemorrhage and cerebellar infarction in our hospital during the recent 4 years were retrospectively reviewed. The results were misdiagnosed as vertebrobasilar insufficiency in 11 cases, subarachnoid hemorrhage in 4 cases, supratentorial lesions in 3 cases, hypertensive encephalopathy in 2 cases, chronic alcoholism, Menier’s disease, posterior fossa tumors and upper gastrointestinal bleeding in 1 case . Conclusion Misdiagnosis of many departments of cerebral infarction lack of knowledge, physical examination is not comprehensive and careful examination of some patients due to limitations of CT.