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病例:女,59岁,1993年4月2日入院,于入院前30天出现头痛,左侧上肢活动受限,伴言语不利。头颅CT示右侧额颞顶叶见有大片状,形态不规则低密度阴影。在当地按。脑血栓形成”给予静点甘露醇、脉通、脉络宁治疗15天,头痛有所好转,左侧肢体无力逐渐加重,为进一步治疗入我院。自发病以来,无咯血及胸痛。近3个月有轻咳,既往无高血压病及糖尿病史,有重度烟酒嗜好。查体:体质消瘦、神清,言语欠流利,口角左偏,周身浅表淋巴结无肿大,颈无抵抗,气管左偏,左下肺呼吸音减弱。心率90次/分,律整,腹软,肝脾未触及,左上肢肌力0级,左下肢肌力Ⅳ级,右侧肌力正常,血沉97mm/h,头颅CT示右侧额颞顶叶有不规则高低密度混杂影。强化CT示右侧顶叶皮层下可见环状强化,大小约4.0×3.8×
Case: Female, 59 years old, admitted to hospital on April 2, 1993. He had a headache 30 days before admission. The activity of the left upper limb was limited and his speech was unfavorable. Skull CT showed a large lamellae in the right frontotemporal parietal lobe with irregular low-density shadows. Press locally. “Cerebral thrombosis” given intravenous mannitol, Maitong, Mailuoning treatment for 15 days, headaches have improved, the left limb weakness gradually increased, for further treatment into our hospital. Since the onset, no hemoptysis and chest pain. Nearly 3 He has mild cough on month, no history of hypertension and diabetes, and heavy smoking and drinking habits.Examination: physical weight loss, clear vision, fluent speech, left-leaning mouth, no swelling of superficial lymph nodes around the body, no neck resistance, trachea Leftward, left lower lung breath sounds weakened Heart rate 90 beats/minute, regular, soft abdomen, untouched liver and spleen, left upper limb muscle strength 0, left lower limb muscle strength IV, normal right muscle strength, ESR 97mm/h The CT scan showed that the frontal temporal lobe and the right parietal lobe had irregular high-low density mixed-intensity images, and enhanced CT showed a circular enhancement in the right parietal cortex, with a size of about 4.0×3.8×.