论文部分内容阅读
刘某,男性,10岁,1989年3月3日入院。因右侧肢体进行性无力,跛行,握物困难,头颅CT检查诊断为“脑脓肿”。于1988年10月按“脑脓肿”治疗后症状缓解出院,出院后一个月上述症状又加重。无发热,头痛及呕吐。再次做头颅CT显示“大脑左基底节区占位性病变”。此时体查:神清,双侧瞳孔等大,圆形,对光反射灵敏。右侧肢体痛觉减退,肌力Ⅳ段,跛行,肌张力增高,巴彬斯基征(+),膝、踝震挛阳性,膝反射、肱二头肌键反射及肱三头肌腱反射亢进,提睾反射减弱。左侧肢体生理反射正常,病理征阳性。开颅探查术:见肿物位于左基底节区,与脑组织分界不清,无明显包膜,灰白色,部分呈囊性。手术后临床诊断:左基底节区占位性病变。
Liu, male, 10 years old, was admitted to hospital on March 3, 1989. Due to the weakness of the right limb, limp, difficult to handle, head CT examination diagnosed as “brain abscess.” In October 1988 by “brain abscess” treatment of symptoms relieved discharge, one month after discharge the above symptoms aggravated. No fever, headache and vomiting. Head CT scan again showed “brain left basal ganglia space-occupying lesions.” Physical examination at this time: God clear, bilateral pupils, such as large, round, sensitive to light reflection. Right limb pain, muscle strength Ⅳ, claudication, increased muscle tone, Babinski sign (+), knee and ankle seizures were positive, knee reflex, biceps reflex and triceps tendon hyperreflexia, Cremaster reflex decreased. Physiological reflex on the left limb is normal and the pathology sign is positive. Craniotomy: see the tumor located in the left basal ganglia, and brain tissue demarcation is unclear, no significant capsule, gray, some cystic. Postoperative clinical diagnosis: left basal ganglia space-occupying lesions.