Misdiagnosis of 23 cases of spontaneous cerebellar hemorrhage Experience.doc

 PAGE \* MERGEFORMAT 5 Misdiagnosis of 23 cases of spontaneous cerebellar hemorrhage Experience [Abstract] Objective Analysis on the misdiagnosis of cerebellar hemorrhage, spontaneous cerebellar hemorrhage improve diagnostic accuracy. Methods From March 2003 to February 2008 of 23 patients admitted to hospital misdiagnosed cases of cerebellar hemorrhage were analyzed retrospectively, to find a misdiagnosis of the subjective and objective reasons. The results of misdiagnosis many types of diseases to be misdiagnosed as vertebrobasilar insufficiency most often, followed by brainstem infarction and Meniere’s Disease. concluded the main reason for misdiagnosis is the clinical symptoms of spontaneous cerebellar hemorrhage not typical, the doctor is not enough detailed physical examination, the other is caused by a variety of reasons due to imaging is not timely. [Keywords:] cerebellar hemorrhage misdiagnosed vertebrobasilar insufficiency Spontaneous cerebellar hemorrhage is not uncommon, accounting for about 10% of cerebral hemorrhage [1], but its lack of specific clinical manifestations of early misdiagnosis. Now in our hospital from March 2003 to February 2008 were treated spontaneously cerebellar hemorrhage report of 23 cases misdiagnosed as follows: 1 Clinical data 1.1 General Information 16 males and 7 females, aged 32 -78 years, mean age 60.2 years, previous history of hypertension in 17 cases, coronary heart disease in 5 cases, history of cerebral infarction in 7 patients, a history of cerebral hemorrhage 2 cases, 6 cases of diabetes. 1.2 Clinical manifestations of cerebral hemorrhage in 23 cases, 20 cases of acute onset, 3 cases of subacute onset. Activity onset in 15 patients, 8 cases quiet onset. Shortest time from onset to hospital half an hour, up to 3 days average of 8.5 hours. Clinical symptoms: dizziness, 18 cases (78.3%, vomiting in 12 cases (52.2%), tinnitus in 5 cases (21.7%, headache in 8 cases (34.8%. Neurology signs: