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患者女,35岁,因后枕部头皮硬结35年,硬结溢脓伴头痛呕吐一个多月于87年11月4日入院。患者生后枕部头皮即有一小结节,约豆粒大小。无任何不适,生长很慢。一个多月前突然破溃,有黄色脓液溢出,体温高达39℃,伴头痛呕吐,且进行性加重。查枕外粗隆右下1cm有一1×2×1cm头皮结节,压痛,活动度小,头皮局部无红肿。发际低,颈短。颅神经未见异常,无眼震。颅骨平片诊为“基底凹陷症”、“环枕融合”,CT诊为“后颅凹占位病变”。于11月8日行后颅窝肿痛切除。见枕外粗隆右下
Female patient, 35 years old, after occipital scalp induration for 35 years, induration epiphora with headache and vomiting more than a month in November 4, 1987 admission. Patients with occipital scalp after birth that there is a small nodules, about the size of beans. Without any discomfort, growth is slow. A sudden collapse more than a month ago, yellow pus overflow, body temperature up to 39 ℃, with headache and vomiting, and progressive increase. Check the occipital outer tubal right lower 1cm 1 × 2 × 1cm scalp nodules, tenderness, activity is small, scalp local no swelling. Hairline low, neck short. No abnormal cranial nerves, no nystagmus. Skull plain diagnosis as “basilar depression”, “annular fusion”, CT diagnosis of “posterior fossa occupying lesion.” On November 8 after the line of skull pain removal. See occipital tubal lower right