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颅内肿瘤常可伴有癫痫发作和精神异常,如不引起重视,常可导致误诊。本文列举2例结合文献资料讨论如下:例1.男,51岁。1964年6月间左手拇指经常出现阵发性抽动伴有麻木异样感,有时整个左上肢抽搐。当年在某医院作右侧颈内动脉造影检查未发现异常,诊断为局限性癫痫。次年,患者出现精神异常,常多疑、自语、整天呆在室内不敢出门、惶恐被捕。多次送精神病医院住院检查治疗,诊断为精神分裂症。患者一直接受抗癫痫药物和抗精神病药物的治疗。20年来癫痫发作和精神异常表现都没见好转。1984年6月间患者感觉左侧上下肢无力来我院就诊。检查:神志清楚,反应迟钝。血压140/80mmHg。颅神经检查未发现异常,左侧上下肢肌力
Intracranial tumors often accompanied by seizures and mental disorders, if not pay attention, can often lead to misdiagnosis. This article lists two cases combined with the literature discussed as follows: Example 1. Male, 51 years old. June 1964 left thumb often accompanied by paroxysmal tics with abnormal feeling of numbness, and sometimes the upper left limb convulsions. Year in a hospital for the right internal carotid artery angiography showed no abnormalities, the diagnosis of localized epilepsy. The following year, patients with mental disorders, often suspicious, self-talk, stay indoors all day afraid to go out, fear of arrest. Hospital psychiatric hospital many times to send treatment, diagnosis of schizophrenia. Patients have been treated with antiepileptic and antipsychotic drugs. Twenty-two years of seizures and mental abnormalities have not seen improvement. June 1984 patients with left upper limb weakness feeling to our hospital. Check: Conscious, unresponsive. Blood pressure 140 / 80mmHg. Cranial nerve examination found no abnormalities, left upper limb muscle strength