Objective: To explore the pathological mechanism and clinical treatment of cerebellar infarction through the clinical imaging changes of cerebellar infarction.
Materials and Methods: The clinical cases of cerebellar infarction were collected randomly, and the changes of imaging manifestations and clinical treatment were observed, analyzed and discussed.
Results: The delayed enhancement from the cortex is caused by the countercurrent of the contrast medium into the capillaries through the vein and unobstructed capillary network. This phenomenon of venous reflux can provide pathological basis for the choice of treatment. Dehydration can significantly improve the condition of patients with cerebellar infarction.
Conclusions: Patency of capillaries and venous reflux are important pathological mechanisms of cerebellar infarction. The duration of traditional ischemic penumbra is prolonged and the treatment time window is wider than that of cerebral infarction. Dehydration is one of the first choice for clinical treatment of cerebellar infarction, and it can even replace craniotomy decompression. (APCs).
Cerebellar infarction, Delayed enhancement, Venous reflux, Ischemic penumbra, Dehydration.