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患者男,45岁。右下肢感觉障碍并间断头痛4月余,抽搐发作10天。专科检查:右下肢触觉消失,肌力4级,肌张力不高。实验室检查:外周血白细胞计数12.7×109/L,中性粒细胞87%;脑脊液蛋白1.88 g/l,葡萄糖2.1 mmol/l,氯116.2 mmol/l。MRI:左侧侧脑室后角旁见一类圆形混杂信号病灶,以等T1、短T2信号为主,内部弥漫点状长T2
Male patient, 45 years old. Right lower extremity sensation and intermittent headache more than 4 months, seizures for 10 days. Specialist examination: the right lower leg touch disappears, muscle strength 4, muscle tension is not high. Laboratory tests: peripheral blood leukocyte count 12.7 × 109 / L, neutrophils 87%; cerebrospinal fluid protein 1.88 g / l, glucose 2.1 mmol / l, chlorine 116.2 mmol / l. MRI: A class of circular mixed signal lesions was found beside the posterior horn of the left lateral ventricle. The T1 and T2 signals were dominant, while the internal diffusely punctate T2