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患者,男,14岁。5年前发现头顶部有一指头大小肿块,无疼痛感。肿块逐渐长至拳头大,记忆力减退,时感双眼胀痛,于1986年8月23日入院。体检:一般情况好,心、肺正常。头顶部呈半球形隆凸,突出物前后径15cm、左右径13cm,质硬,不活动,表面光滑,无红肿,按压时胀痛,叩诊无破壶音,局部无血管杂音。神经系统检查无定位体征。无颅内压增高征象。血常规检查正常,血沉不增快。脑脊液检查无异常。X线检查;平片示颅顶骨质广泛增生,密集放射状骨针垂直于颅板(图1、2)。脑血管造
Patient, male, 14 years old. 5 years ago found a finger at the top of the head mass, no pain. Mass gradually grow to big fist, memory loss, feeling binocular pain, in August 23, 1986 admission. Physical examination: the general situation is good, heart, lungs normal. The top of the head was hemispherical bulge, protrusion anteroposterior diameter of 15cm, left and right diameter 13cm, hard, inactive, smooth surface, no swelling, pressure pain, percussion non-breaking pot sounds, local vascular noise. Nervous system examination without location signs. No signs of increased intracranial pressure. Normal blood tests, erythrocyte sedimentation rate is not increased. No abnormal cerebrospinal fluid examination. X-ray examination; plain radiograph showed extensive proliferation of the top of the skull, dense radial bone pin perpendicular to the skull (Figure 1,2). Cerebrovascular