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脑血管外皮肉瘤少见,我们遇到一例,报告如下: 患者,男,66岁,反复头痛、头晕、站立不稳20多天,头痛以右颞部及枕后部为主,并觉双下肢无力。1986年曾有头皮外伤史。体检:双侧视乳头轻度苍白、水肿,伸舌偏右,舌肌纤颤,右侧鼻唇沟、额纹变浅,左侧感觉稍差,肌张力降低,植物神经系统正常,脑膜刺激征阴性,未引出病理反射。 CT扫描:平扫右颞、顶叶见一类圆形边缘密度高、中央不规则低密度混杂病灶,CT值35~58Hu,大小约4.3cm×5.5cm,边界欠清,灶周见广泛指压状水肿带,
Cerebral vascular skin sarcoma rare, we encountered a case, the report is as follows: The patient, male, 66 years old, repeated headache, dizziness, standing firm more than 20 days, headache to the right temporal and occipital, and lower limb weakness . There was a history of scalp trauma in 1986. Physical examination: bilateral visual nipple mild pale, edema, stretch tongue to the right, tongue fibrillation, right nasolabial fold, forehead pattern lighter, slightly worse left, reduced muscle tone, autonomic nervous system, meningeal irritation Negative sign, did not lead to pathological reflex. CT scan: plain right temporal, parietal, see a class of circular edge of high density, central irregular low-density mixed lesions CT value of 35 ~ 58Hu, size of about 4.3cm × 5.5cm, border less clear, Pressure edema zone,