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患者男,20岁因间歇性癫痫大发作两个月入院。入院前5天出现复视,头痛,呕吐。有吃米猪肉病史。1 检查神智清,表情淡漠,语言错乱,无皮下结节,双眼右侧水平震颤,视力眼前一米指数,复视,各方向相同。双眼底视乳头轻度水肿。右上肢肌力Ⅳ级,肱二头肌键反射活跃。Hoffmann氏征(+),其它肢体正常。腰穿:初压400mmH_2 O,脑脊液蛋白57mg％,糖43mg％,氯化物738mg％。头颅CT、示右额后、颞前、中颅窝底有一直径约4.5cm,边界清楚,密度均匀的低密度影像,CT值9.5H,中线结构无移位(见图)。诊断:右中颅窝底囊性肿物。术中所见:右颞骨
Male patient, 20 years old due to intermittent epilepsy attack two months admitted. Diplopia 5 days before admission, headache, vomiting. Have a history of eating pork. 1 check God clear, apathy, language confusion, no subcutaneous nodules, horizontal tremor on both sides of the right eye, eyesight index of one meter before, diplopia, the same direction. Binocular nipple mild edema. Right upper limb muscle strength Ⅳ, biceps key reflex active. Hoffmann’s sign (+), other limbs normal. Waist wear: initial pressure 400mmH_2 O, cerebrospinal fluid protein 57mg%, sugar 43mg%, chloride 738mg%. Head CT, after showing the right forehead, anterior, middle cranial fossa has a diameter of about 4.5cm, clear boundary, uniform density of low-density images, CT value 9.5H, no shift of the midline structure (see Figure). Diagnosis: right middle cranial fossa cystic mass. Intraoperative findings: right temporal bone