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患者,男,18岁。因左颜面萎陷15年,右侧肢体无力11年,于1991年7月11日入院。入院前15年(3岁)发现左颜面较对侧小,逐渐加重致左颜面明显萎陷。11年前(7岁)先后出现右上、下肢无力及肌萎缩,但仍能从事一般轻体力劳动及行走。既往无头、面外伤史。体格检查:神清、合作、消瘦。左前额见4×6cm~2颅骨凹凸不平。左面部较右侧小,皮下组织萎缩。皮温及出汗双侧对称。轻偏瘫步态,无失语。右上、下肢肌萎缩,右手呈“鹰爪”畸形。上肢鹰嘴上10cm周径:右20cm,左23cm;鹰嘴下10em周径:右18.5cm、左22cm。下
Patient, male, 18 years old. Due to left facial collapse 15 years, the right limb weakness 11 years, on July 11, 1991 admission. 15 years before admission (3 years old) found that left than the opposite side of the small face, gradually increased to the left face significantly collapsed. 11 years ago (7 years old) has appeared in the upper right, lower extremity weakness and muscle atrophy, but can still be engaged in general light manual labor and walking. No previous head, face history of trauma. Physical examination: God clear, cooperation, weight loss. Left forehead see 4 × 6cm ~ 2 skull uneven. Left than the right side of the small, subcutaneous tissue atrophy. Skin temperature and sweat bilateral symmetry. Hemiplegia gait, no aphasia. Right upper extremity muscle atrophy, right hand was “Eagle claw” deformity. Upper limb Olecranon on the 10cm circumference: the right 20cm, left 23cm; olecranon 10em circumference: 18.5cm right, 22cm left. under