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男、41岁,因头痛1年余伴视物模糊4个月于1990年3月17日第二次入院。作颅脑CT怀疑蝶鞍部肿瘤,转上级医院经再次颅脑CT及脑血管造影,否定有颅内占位病变而转回我院。经全身及辅助检查,除左眼外展不能外,余未发现有明显异常.考虑外展神经麻痹原因可能是眶上裂综合症或系眶尖综合症,都与耳鼻有关,在观察及询问病史中发现有抽吸性血痰史,经耳鼻喉科会诊检查,发现鼻咽部有新生物.取活检,病理切片报告为低分化型鳞癌.
Male, 41 years old, was hospitalized for the second time on March 17, 1990 because of a headache for more than one year and the subject was blurred for 4 months. For craniocerebral CT suspected sella tumors, transferred to a higher hospital by cranial CT and cerebral angiography again, negate the presence of intracranial lesions and transferred back to our hospital. After systemic and ancillary examinations, except for the left eye, the abductor was not found. However, no significant abnormalities were found. The reason for considering the abducens nerve paralysis may be the supraorbital septal syndrome or the tinea temporarius syndrome. Both are associated with ear and nose. Observation and inquiry A history of aspirated blood stasis was found in the history of the disease. After examination by the otolaryngology department, a new organism was found in the nasopharynx. A biopsy was taken and the pathological section was reported as poorly differentiated squamous cell carcinoma.