论文部分内容阅读
多发性硬化(MS)可误诊为脑肿瘤。现将我们遇到的一例报告如下: 患者:王××、女、40岁;于87年2月无诱因自觉头痛,以右侧持续性胀痛为主,晨起重,十余天后出现精神异常,表现为言语混乱,欣快,性格改变。于87年6月以“精神分裂症”入某精神病院诊治;但头痛呈阵发性加剧,伴呕吐。87年8月24日入我院神经外科;当时查体:表情呆滞,定向力、计算力丧失,近远记忆力差;双侧视乳头充血,边界清晰;A∶V=1∶2,左侧肢体肌张力略高,肌力正常,深反射亢进,Hoffmann征阳性,共济运动良好,深浅感觉正常。头部CT示:20—70mm层面右颞顶区见51×56mm不规则低密度影,CT值31—38Hu,同侧侧脑室、桥池及第三脑室受压,中线结
Multiple sclerosis (MS) can be misdiagnosed as a brain tumor. Now we have a case report is as follows: Patient: Wang × ×, female, 40 years old; in February 87 without inducing headache, sustained pain on the right side of the main morning weight, more than ten days after the spirit Abnormal, manifested as confusing speech, euphoria, personality changes. In June 1987 with “schizophrenia” into a mental hospital for treatment; but the headache was paroxysmal increase, with vomiting. August 24, 1987 into our hospital neurosurgery; was physical examination: expression dull, directional force, loss of power, near and far memory is poor; bilateral papillae hyperemia, clear boundary; A: V = 1: 2, left Hypertrophy of the limbs slightly higher, normal muscle strength, hyperreflexia, Hoffmann sign positive, Masonic exercise good, the sense of depth and normal. Head CT showed: 20-70mm level right parietal region see 51 × 56mm irregular low density, CT value 31-38Hu, ipsilateral lateral ventricle, bridge and third ventricle compression, midline knot