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患者女,62岁。因头痛二年余,加重十天于92年6月2日入院。该患于二年前,出现间断性针刺样左侧偏头痛。针灸治疗后,症状略有缓解。同年8月左眼视力减退。mR 检查:左侧中颅凹占位,符合起于三叉神经半月节,中颅凹硬膜外三叉神经瘤。二年后,右眼视力减退至失明,头痛加重,呈持续性,不缓解,并出现呕吐。为手术治疗来我院,CT 所见:左中颅凹鞍旁可见4.2×3.6cm 大小肿物,界限清楚,周围脑组织肿胀不明显。诊断为中颅凹占位性病变。查体:神清语明,左眼球固定,眼睑下垂,结膜反射消失。左咀嚼无力,面部感觉消失。四肢肌力Ⅱ
Female patient, 62 years old. More than two years due to headache, aggravating ten days in June 2, 1992 admission. The suffering from two years ago, there intermittent acupuncture-like left migraine. Acupuncture treatment, the symptoms slightly relieved. In the same year in August left eye vision loss. mR examination: the left crescent occupy, in line with the trigeminal nerve from the meniscus, midcave concave epidural trigeminal. Two years later, visual acuity decreased to blindness in the right eye, headache increased, was persistent, did not relieve, and vomiting. Surgical treatment to our hospital, CT seen: left cranial concave saddle can be seen next to the size of 4.2 × 3.6cm tumor, clear boundaries, surrounding brain tissue swelling is not obvious. The diagnosis of space-occupying lesions in the skull. Physical examination: Clear statement, the left eye fixed, ptosis, conjunctival reflex disappeared. Left chewing weakness, facial feeling disappeared. Limb muscle strength Ⅱ