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貌似脑血管病的脑肿瘤易发生误诊而延误治疗,现报道6例如下:例1、男,54岁。因发作性左上肢无力1月,左上下肢轻瘫7天于1986年10月6日入院。1月前开始左上肢发作性无力,每次历时数分缺至1小时缓鳃,7天前晨起发现左上下肢无力,言语欠清,当地医院诊为“脑血栓形成”用低分子右旋醣酐等活疗7天,症状无好转,且有晨起头痛而转入我院。既往有高血压史6年。检查:Bp160/120mmHg,意识清。言语欠清,双侧视乳头正常,左鼻唇沟浅,伸舌偏左,左上下肢肌张力高,肌力Ⅳ度,腱反射亢进,左腹壁、提睾反射弱,左巴氏征(+)。入院仍按“脑血栓形成”治疗,1周后发现双视乳头边缘不清,生理凹陷消失,做头颅 CL 示右顶叶胶质瘤,后转北京手术和病理证实为右顶叶恶性胶质细胞瘤,术后3月死亡。
Seemingly cerebrovascular disease prone to misdiagnosis and delayed treatment of brain tumors are reported 6 cases as follows: Example 1, male, 54 years old. Due to episodes of left upper limb weakness in January, left upper limb paralysis 7 days in 1986 October 6 admission. 1 month ago, left upper extremity onset of weakness, each time a few hours to 1 hour slow gills, 7 days ago morning found upper left and lower extremity weakness, speech is not clear, the local hospital diagnosed as “cerebral thrombosis” with low molecular dextrorotatory Anhydrite and other active 7 days, no improvement in symptoms, and morning headache and transferred to our hospital. Past history of hypertension for 6 years. Check: Bp160 / 120mmHg, clear consciousness. Speech is not clear, both sides of the normal nipple, left nasolabial fold shallow, left deaf, left upper extremity muscle tension, muscle strength Ⅳ, tendon hyperreflexia, left abdominal wall, cremasteric reflex weak, ). Admission is still “thrombosis” treatment, 1 week after the discovery of bilateral binocular edge is unclear, physiological depression disappeared, do the head CL showed right parietal glioma, after surgery and pathology in Beijing confirmed as right parietal glioblastoma Tumor, died after 3 months.