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目的：探讨小脑梗塞的ＭＲＩ征象及其与临床表现的相关性。方法：观察３４例小脑梗塞的临床表现，盲法判断ＭＲＩ表现并与临床对照。结果：临床按病情不同将小脑梗塞分三组，即Ⅰ型（良性型），Ⅱ型（假肿瘤型）和Ⅲ型（昏迷型）。ＭＲＩ表现亦分三组即显示小梗塞灶（病变范围小于２０ｍｍ）；大梗塞灶（病变范围＞２０ｍｍ）；显示小脑梗塞合并脑干梗塞。ＭＲＩ征象与临床表现的Ｋａｐｐａ值为０．９４７。结论：小脑梗塞的ＭＲＩ征象与各型临床表现密切相关，ＭＲＩ的不同表现可以反映相应的临床过程，是判断临床分型的重要手段
Objective: To investigate MRI features of cerebellar infarction and its correlation with clinical manifestations. Methods: The clinical manifestations of 34 patients with cerebellar infarction were observed. The MRI findings were evaluated by blinded method and compared with the clinical control. Results: According to different clinical conditions, cerebellar infarction was divided into three groups: type Ⅰ (benign), type Ⅱ (pseudocytosis) and type Ⅲ (coma). MRI manifestations were also divided into three groups showed small infarction lesions (lesions less than 20mm); large infarct lesions (lesions range> 20mm); showed cerebellar infarction with brainstem infarction. The Kappa value of MRI signs and clinical manifestations was 0.947. Conclusions: MRI signs of cerebellar infarction are closely related to various clinical manifestations. The different manifestations of MRI can reflect the corresponding clinical course and are an important means to judge the clinical classification