Clinical and imaging analysis of middle cerebellar peduncle lesions associated with different diseases
10.19845/j.cnki.zfysjjbzz.2022.0083
- VernacularTitle:不同疾病伴发的小脑中脚病变的临床与影像学分析
- Author:
Xiaoying ZHOU
1
;
Shengqi FU
1
;
Jin ZHANG
1
Author Information
1. Department of Neurology,Zhengzou People Hospital,Xinxiang Medical University,Zhengzhou 450003,China
- Publication Type:Journal Article
- Keywords:
Middle cerebellar peduncle (MCP) lesions； Clinical manifestation ； Imaging features
- From:
Journal of Apoplexy and Nervous Diseases
2022;39(4):328-332
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the etiology,clinical manifestations and neuroimaging features of the lesions of the middle cerebellar foot caused by different diseases.Methods The general clinical data of 9 patients with bilateral middle cerebellar peduncle lesions admitted to our hospital from May 2016 to October 2021 were retrospectively analyzed,and the clinical manifestations and imaging characteristics of different diseases were analyzed.Results Abnormal lesions were seen in 9 patients with middle cerebellar feet,including case 1:Speech slurred,left limb weakness for 3 months,dizziness,walking instability for 10 days previous pontine infarction,diagnosed as Walle’s degeneration.Case 2:Dizziness and unstable walking for 1 year after pontine hemorrhage,diagnosed as pontine hemorrhage and Waller’s degeneration of the bridge arm.Case 3:Presented with dizziness and walking instability for 2 years and was diagnosed with mu-ltiple system atrophy.Case 4:Memory loss for 2 months,aggravation for 10 days,previous rheumatoid arthritis,diagnosed as lupus encephalopathy.Case 5:Seizures of limbs,loss of consciousness for 3 days,chronic renal insufficiency in the past,diagnosed as renal encephalopathy.Case 6:Left lower limb weakness for 4 months,dizziness,seppch impairment for 2 days,diagnosed as neuromyelitis optic specturum disease.Case 7:Dizziness,walking instability for 15 days,HIV positive,diagnosed as HIV encephalopathy.Case 8:Clumsy handholding for 4 years,involuntary shaking for 2 days,diagnosis of Wilsonl’s disease.Case 9:Dizziness,unstable walking for 3 months,previous history of Hodgkin’s lymphoma,diagnosed as Hodgkin’s lymphoma with central nervous system damage.Conclusion The etiology of the lesions of middle cerebellar foot is complex,attentions are needed in order to reduce clinical misdiagnosis and missed diagnosis.
- Full text:2024072521051241479Clinical and imaging analysis of middle cerebellar peduncle lesions associated with different diseases.pdf
