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患者男,38岁,因头痛、呕吐伴视物不清一个月,于1985年11月30日入院。患者既往健康。体检:全身淋巴结无肿大,肝脾未触及,头颅大小正常,双眼球稍内斜,外展受限,无眼颤,双眼底视盘边缘不清,生理凹陷消失,渗出明显。左侧下肢肌张力增高,双侧腱反射(++),右侧巴氏征(±)。脑电图:中度异常脑电图。脑血管造影:颅内占位性病变,病灶部位在左顶叶较前部。手术所见:肿瘤位于额极部位,约7×7×6cm大小,有囊性变,色暗红,边界尚清,并侵及对侧脑组织。
Male patient, 38 years old, due to headache, vomiting with blurred vision for a month, on November 30, 1985 admitted. The patient’s past health. Physical examination: No lymphadenopathy in the whole body, no palpable liver and spleen, normal head size, slightly oblique eyes, limited abduction, no eye flutter, unclear margins of binocular optic disc, disappearance of physiological depression and obvious exudation. Left lower extremity muscle tone increased, bilateral tendon reflex (++), right Pakistan’s sign (±). EEG: moderate abnormal EEG. Cerebral angiography: intracranial space-occupying lesions, lesions in the left parietal lobe anterior. Surgical findings: The tumor is located in the frontal area, about 7 × 7 × 6cm size, a cystic change, dark red, border clear, and invasion of the contralateral brain.