患者,女18岁,主因听理解障碍渐进性加重三年入院。患者于入院前三年无明显诱因出现耳鸣,能听见别人讲话,但对语言的分析理解能力下降,对很简单的问话听不懂,需多次、慢速重复提问才可理解,做出相应的回答,与其交谈极为困难,上课时对老师的讲课也不理解,学习成绩明显下降,以后缀学。既往史无特殊记载。病前学习成绩在班内属中上等水平。查体:一般查体无异常发现。神经科查体:神清、自发性语言正常,听力、书写、阅读、背诵、计算能力均正常,其他神经查体无阳性发现。电测听及前庭功能试验正常。EEG轻度异常。MRI示左颞顶一圆形软化灶。腰穿:压力正常,常规正常,蛋白45mg％、糖、氯化物正常,弓形虫,囊虫酶标阴性,血免疫复合物升高(95.5Rt),血液大生化及血尿便常规正常。因需要 Patients, 18-year-old female, mainly due to cognitive impairment progressively increased three-year admission. Patients in the first three years before admission there is no obvious incentive to tinnitus, to hear others speak, but the analysis of language ability to understand, to very simple questioning do not understand, need to be repeated several times, slowly repeated questions to understand, make The corresponding answer, extremely difficult to talk to them, lectures on the teacher did not understand the class, significantly reduced academic performance, post-seeding. No previous history of special records. Pre-illness academic performance in the class is first-class level. Physical examination: no abnormal findings in general examination. Neurology examination: Shen Qing, normal spontaneous language, hearing, writing, reading, recitation, computing power are normal, no other nerve examination found no positive findings. Electrical audiometry and vestibular function test is normal. EEG mild abnormality. MRI showed a round top of the left temporal soft tissue. Waist wear: normal pressure, normal normal, protein 45mg%, normal sugar, chloride, toxoplasma, cysticercosis enzyme-negative, elevated immune complexes (95.5Rt), blood biochemical and hematuria will be normal. Because of need