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本文介绍首例有临床放射学资料、限于小脑后下动脉(PICA)内侧支供应区的急性双侧小脑梗塞患者。 病例报告 患者65岁男性。1992年2月17日突然出现旋转性眩晕、站立不能,随即意识丧失。有心房纤颤和高血压病。发病当天体检发现有时间、地点和人物定向障碍。次日意识恢复正常。曾有左顶叶梗塞病史。3天后再次出现定向障碍,中等度昏睡。1992年2月24日CT显示双侧小脑蚓部有低密度区,伴有侧脑室和第三脑室中到重度扩大。1992年2月25日体检发现血压22/12kPa(166/90mmHg),脉搏不规则,70次/min,心尖部闻及与二尖瓣狭窄一
This article presents the first clinical case of acute bilateral cerebellar infarction with clinical radiology limited to the medial branch supply of the posterior subclavian artery (PICA). Case report Patient 65 years old male. February 17, 1992 Sudden rotation vertigo, unable to stand, then loss of consciousness. Atrial fibrillation and hypertension. On the day of the onset of physical examination found that there are time, place and character orientation disorders. The next day the consciousness returned to normal. Had a history of left parietal infarction. 3 days after the re-orientation disorder, moderate drowsiness. February 24, 1992 CT showed bilateral cerebellar vermis with low density, accompanied by moderate to severe lateral ventricle and ventricular enlargement. February 25, 1992 physical examination found blood pressure 22 / 12kPa (166 / 90mmHg), irregular pulse, 70 beats / min, apical scent and mitral stenosis