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病例资料患者,女,40岁。因左侧颞部头痛伴头晕、恶心20天,记忆力明显下降,言语不流利1周入院。神经系统查体:神志清,精神淡漠,记忆力差,语速慢,右侧肢体肌力Ⅳ,肌张力正常,左侧肢体肌力、肌张力正常,脑膜刺激征及巴氏征均未引出。患者于Siemens Prisima 3.0T MR扫描仪行仰卧位扫描。扫描序列依次为平扫、磁敏感加权成像(susceptibility weighted imaging,SWI)和动态增强(肘静脉团注Gd-
Case information patients, female, 40 years old. Due to the left side of the temporal headache with dizziness, nausea 20 days, memory decreased significantly, speech is not fluent 1 week admission. Nervous system examination: conscious, apathetic, poor memory, slow language, right limb muscle strength Ⅳ, normal muscle tone, left limb muscle strength, muscle tone normal, meningeal irritation and Pakistan’s symptoms were not induced. The patient was supine on a Siemens Prisima 3.0T MR scanner. The scanning sequences were plain scan, susceptibility weighted imaging (SWI) and dynamic enhancement (Gd-