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临床资料与病理所见例1 患者男,46岁。因视物晃动,耳鸣、耳聋,走路向右偏斜半年,伴恶心呕吐一月余入院。检查:双眼向注视方向有水平带旋转性眼颤,右三叉神经1.2支区域痛觉稍减退,右鼻唇沟略浅,右耳骨导气道较左耳缩短,韦伯氏居中,咽反射稍迟钝,步态不稳。昂伯氏征(+)。颅脑CT 检查,NC:右小脑桥脑角软组织影,周围低密度带环绕,第四脑室受压变形左移,两侧侧脑室及第三脑室轻度扩大变形,中线无移位,大脑实质无异常改变;IC:上述病变出现明显增强效应,大小约3.4×2.7×2.5cm,余所见征象同NC。结论:右小脑桥
Clinical data and pathology seen in Example 1 male patient, 46 years old. Due to sights, tinnitus, deaf, walked to the right for six months, with nausea and vomiting more than one month admitted. Check: eyes with a horizontal direction of rotation with rotational nystagmus, the right trigeminal nerve area 1.2 pain slightly diminished slightly right nasolabial groove slightly right ear bones airway than the left ear shortening, Webster’s center, pharyngeal reflex a little dull Gait instability. Ambient sign (+). Brain CT scan, NC: right brain pontine angle soft tissue, around the low-density zone, the left ventricular compression deformation left, both sides of the lateral ventricles and third ventricle slightly expanded deformation, no shift of the midline, the brain parenchyma No abnormal changes; IC: significant enhancement of the above lesions, the size of about 3.4 × 2.7 × 2.5cm, the rest of the signs of the same with NC. Conclusion: Right MPN