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患者女,32岁,以反复发作的头痛、眩晕、耳鸣、呕吐等症状曾先后多次住院治疗。神经系统检查:双眼底视乳头水肿、双侧Hoffman氏征(+),左侧下肢轻瘫,两次腰穿脑压分别为280毫米水柱和240毫米水柱,脑脊液无色透明,常规化验均正常。以颅内高压,颅内占位病变待除外住院做进一步检查。经颅脑超声波,脑血管造影、脑室造影等均无异常发现。后经血管扩张剂、脱水剂等治疗,病情好转。两年后随访症状已基本消失,可操持家务。神经系统体征消失,眼底已无水肿。
Female patient, 32 years old, recurrent headache, dizziness, tinnitus, vomiting and other symptoms have repeatedly hospitalized. Nervous system examination: binocular papilledema, bilateral Hoffman’s syndrome (+), left lower extremity paresis, two lumbar puncture were 280 mm water column and 240 mm water column respectively. Cerebrospinal fluid was colorless and transparent, and routine tests were normal. To intracranial hypertension, intracranial space lesions to be excluded from hospital for further examination. Transcranial ultrasound, cerebral angiography, ventricular angiography were no abnormal findings. After vasodilators, dehydration agents and other treatment, the condition improved. Follow-up symptoms disappeared after two years, can manage housework. Nervous system signs disappeared, the fundus has no edema.