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患者男性,19岁。因痫性抽搐12年于86年8月23日入院。患者7岁时开始发作性四肢抽搐,伴意识丧失,2分钟后缓解,发作前无先兆,每日抽搐1～2次。既往有吃痘猪肉病史。检查:皮下无结节,心肺腹部正常,神经系统检查无阳性体征。化验:血尿便正常,肝功正常,血沉8mm/小时。胸透正常。脑电图:各导联均有慢波,以左额多见脑CT扫描:左额叶2×2cm类圆形等密度影,周围有小片状低密度区。右顶枕叶见45×4cm不规则低密度区,内有散在点状钙化。因碘过敏未做增强。初诊:1.颅内占位性病变 2.脑囊虫症。86年9月5日全麻下行右顶枕开颅,肿块5×2×5cm,外观灰黄色,边界清,地质硬,不易出血,术中将肿瘤完整切除。病理诊断:脑星形细胞瘤Ⅰ—Ⅱ级。术
Male patient, 19 years old. Due to epileptic convulsions 12 years in August 23, 1986 admission. Patients at the age of 7 onset of seizures of limbs, with loss of consciousness, relief after 2 minutes, without aura before the attack, convulsions 1 or 2 times a day. Past history of eating pox pork. Check: subcutaneous nodules, cardiopulmonary abdomen normal, no positive signs of neurological examination. Laboratory tests: hematuria will be normal, normal liver function, ESR 8mm / hour. Thoracotomy normal. Electroencephalography: Each lead has a slow wave to the left forehead more common brain CT scan: left frontal lobe 2 × 2cm class circular isosceles, surrounded by a small area of low-density area. See the right top of the occipital lobe 45 × 4cm irregular low density, there are scattered dot-like calcification. I do not do because of iodine allergy enhancement. New diagnosis: 1. Intracranial lesions 2. Cerebral cysticercosis. September 5, 1986 under general anesthesia on the right occipital craniotomy, mass 5 × 2 × 5cm, the appearance of yellowish-brown, clear boundary, hard geological, difficult to hemorrhage, complete removal of intraoperative tumor. Pathological diagnosis: astrocytoma Ⅰ-Ⅱ grade. Surgery