张 铖,窦金娟,甄 飞,杨 芃,申少珍

自发性眼震以急性前庭综合征为表现患者的重要体征之一，有时是唯一的体征。而在急性前庭综合征患者中鉴别因脑干或小脑梗死所致的恶性眩晕是急诊医师及神经科医师的首要工作。但很多后循环小卒中患者因病灶较小、体征少，很容易和前庭外周疾病如前庭神经炎混淆。恢复性眼震亦多出现在前庭周围病变的病程中。我们报道一例以自发性眼震为体征的延髓及小脑梗死患者，在发病后眼震方向发生改变。我们对其眼震方向改变的机制进行分析，为今后临床实践提供参考。

小脑梗死；脑干梗死；自发性眼震

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