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患者,男,64岁。主因左乳突痛1年伴左耳听力下降半年。于1988年12月13日入院。体检:神志清楚、语言欠流利、吐字不清,左眼睑闭合不全,左额纹变浅,口角歪向右侧,伸舌偏右,左侧面部痛觉减退,左耳听力丧失。头颅CT片示:左内听道口略大、内听耳道开口处有一个半园形环状强化影、基底正对内听道开口。CT片诊断:左侧桥小脑角所神经瘤。手术探查、肿瘤位于内听道口处,瘤体与岩骨平行、瘤体约1.5×2.3×1.2cm,肿瘤表面呈淡红色、质坚韧、富有血运、肿瘤大部分切除,术后第2日腰穿,脑压340毫米水柱,脑脊液呈淡红色、夹杂褐色小颗粒,放液15毫升,呈褐红色。大便
Patient, male, 64 years old. Mainly because of left ear pain 1 year with left ear hearing loss six months. Admitted to hospital on December 13, 1988. Physical examination: Consciousness, the language is not fluent, unclear articulation, left eyelid insufficiency, left forehead pattern shallow, mouth crooked to the right, stretch tongue to the right, left facial pain decreased, left ear hearing loss. Head CT scan showed: the left internal auditory canal slightly larger, the inner auditory canal opening has a semi-circular ring enhanced shadow, the base is open to the internal auditory canal. CT film diagnosis: left cerebellopontine angle neuroma. Surgical exploration, the tumor is located within the auditory canal at the mouth, the tumor and the petrous bone parallel to the tumor about 1.5 × 2.3 × 1.2cm, the tumor surface was pale red, tough, rich blood, most of the tumor resection, the first 2 days Lumbar puncture, intracranial pressure 340 mm water column, cerebrospinal fluid was light red, mixed with brown granules, liquid 15 ml, was maroon. Stool