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1 临床资料 患者,女,38岁。1990年7月开始脱发,10月8日无诱因突感持续性头昏、头痛,阵发性加重,伴有低热,3d后头痛加剧,呈敲击样,伴恶心、呕吐、头领发艘、同时感视物模糊。10月20仅能见手动,出现耳鸣,25日听力下降,于26日入院。查体神清,体温正常,头发稀疏,左胸背部有0.2cm×0.2cm大小色素减退斑,心肺正常。双Rinne试验短阳性,颈抵抗:Kemig征阳性,双眼视力右指数/15cm.左手动/眼前;KP(+),前房及玻璃体轻度混浊,虹膜无粘连,视乳头边界不清,轻度隆起,双眼后极部
1 clinical data patients, female, 38 years old. July 1990, hair loss, no incentive on October 8 Sudden discontent Persistent dizziness, headache, paroxysmal aggravation, accompanied by fever, increased headache after 3d, was beating like, with nausea and vomiting, the head of the ship, At the same time blurred vision. October 20 can only see the manual, tinnitus, hearing loss on the 25th, admitted to the hospital on the 26th. Check the body clear, normal body temperature, thinning hair, left chest back with 0.2cm × 0.2cm size hypochromic spots, normal heart and lung. Double Rinne test short positive, neck resistance: Kemig sign positive, binocular visual acuity right index / 15cm. Left hand / front; KP (+), anterior chamber and vitreous mild opacity, iris adhesions, unclear optic disc border, mild Uplift, both eyes after the pole