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患者女性,23岁。因头痛半年,不能行走伴视力下降1个月入院。患者半年前无明显诱因出现间断性头痛,脑脊液压力230mmH_2O,无肢体活动障碍,无视物模糊。5个月前突发意识障碍,给予脑室穿刺引流后症状好转。近1个月来不能行走,视力下降。查体:双瞳等大等圆,对光反射灵敏,右眼光感,左眼失明。颈项强直,Kernig征(+)。全身皮肤多发点状黑斑,于右下腹见一直径1cm、隆起于皮表的形态不规则黑痣,表面光滑。1年内曾在私人诊所点烧面部黑
Patient female, 23 years old. Due to headache for six months, can not walk with decreased visual acuity 1 month admission. Six months ago, no obvious incentive for patients with intermittent headache, cerebrospinal fluid pressure 230mmH_2O, no physical activity disorders, ignoring blurred objects. Sudden disturbance of consciousness 5 months ago, give intraventricular puncture drainage improved symptoms. Nearly a month can not walk, vision loss. Physical examination: double pupil and other large circle, sensitive to light reflection, right eye light sense, left eye blindness. Neck stiffness, Kernig’s sign (+). Multiple spots of systemic skin spots, spots in the right lower abdomen see a diameter of 1cm, raised in the skin irregular form irregular mole, the surface smooth. In the private clinics in the past year, I burned my face black