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我科自1985年以来,收治3例首发症状为肢体抽搐的脑结核瘤,报道如下。 1 临床资料 例1,男,24岁,3′(?)来右上肢不自主抽搐3次,末次呈大发怍状,长达2小时。否认结核史,胸片正常。CT提示左颞顶区有21×22.7mm低密度灶,其间可见两个略高密度环影,CT值42Hu,邻近脑室轻度受压,中线结构无移位,增强后肿块强化不明显,CT值43Hu,周围低密度区26Hu。手术中见左顶叶距皮层20mm,有一边界清楚,约10×15×25mm肿块,褐红色,供血丰富,全切除。术后病检报告:结核瘤。
Our department since 1985, admitted to the first three cases of limb twitching brain tuberculoma, reported as follows. 1 clinical data example 1, male, 24 years old, 3 ’(?) To the upper right limb involuntary twitching 3 times, the last was Daihatsu, up to 2 hours. Denied the history of tuberculosis, chest X-ray normal. CT showed that there was 21 × 22.7mm low-density foci in the left temporal region. There were two slightly high-density circumferences in the left temporal-superior region. The CT value was 42Hu. The adjacent ventricles were mildly compressed and the midline structure was not displaced. Value 43Hu, around the low-density area 26Hu. Surgical see the left parietal cortex 20mm from the cortex, there is a clear boundary, about 10 × 15 × 25mm mass, maroon, rich in blood supply, the whole resection. Postoperative pathological examination report: tuberculosis.