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患者男,23岁。因头痛1月伴呕吐10天,于1989年12月8日入院。1个月前觉右枕部疼痛,呈持续性,不剧,偶有视物变形,无视幻觉。近10天疼痛加重,波及全头,伴喷射性呕吐,晨起明显。无发热、抽搐、肢体麻木及无力,大小便正常。查体:神志清楚,左侧同向偏盲,视乳头边缘不清,生理凹陷消失,眼底静脉淤血,双眼球外展露白,运动及感觉检查正常,浅深反射无异常,锥体束征阴性,有颈抵抗,Kernig 征(+)。内科检查正常。血 WBC 11×10~9/L,中性74%,淋巴26%;血沉38mm/h;脑脊液:无色,透明,潘氏试验(卄),RBC 78×10~6/L,WBC 462×10~6/L,单核0.79,多核0.21,蛋白lg/L,糖1.
Male patient, 23 years old. January due to headache with vomiting in January 10, on December 8, 1989 admission. 1 month ago, right occipital pain, was persistent, not drama, visual distortion of the occasional, ignoring the illusion. Pain increased in the past 10 days, affecting the whole head, with jet vomiting, early morning obvious. No fever, convulsions, limb numbness and weakness, normal urine. Examination: Consciousness, the same side of the left hemianopia, unclear edge of the optic nerve, disappearance of physiological depression, retinal venous congestion, both eyes outreach ball white, exercise and sensory examination was normal, no abnormalities shallow reflection, pyramidal tract signs negative, Cervical resistance, Kernig’s sign (+). Medical examination was normal. Blood WBC 11 × 10 ~ 9 / L, Neutral 74%, Lymph 26%; Erythrocyte sedimentation rate 38mm / h; Cerebrospinal fluid: colorless and transparent, Pan test, RBC 78 × 10 ~ 6 / L, WBC 462 × 10 ~ 6 / L, mononuclear 0.79, multinuclear 0.21, protein lg / L, sugar 1.