论文部分内容阅读
我科曾遇2例原发于侧颅底区的恶性肿瘤,现报告如下。 例1 男,47岁。因左耳反复溢脓40年,左侧面瘫5个月,在县医院行左侧“乳突根治术”。术中见中耳乳突腔有2×1.5×1cm大小胆脂瘤,面神经管水平段骨质破坏。消除中耳病灶并行鼓室段面神经减压术。术后半月头痛加剧、眩晕、复视。神经病院发现左侧颅神经Ⅴ、Ⅵ、Ⅶ、Ⅷ功能障碍,颈部略有抵抗,腰穿脑压正常,脑脊液微混浊,潘氏试验弱阳性。疑为中耳炎继发颅内感染于1982年4月19日转入我院。检查:左耳为一乳突根
Our department had 2 cases of primary malignant tumors in the skull base area, are as follows. Example 1 male, 47 years old. Due to repeated leftpox empyema 40 years, left facial paralysis 5 months, left in the county hospital “mastoidectomy.” Surgery see middle ear milk cavity with 2 × 1.5 × 1cm size of cholesteatoma, facial nerve tube horizontal bone destruction. Eliminate the middle ear lesions parallel tympanic nerve decompression surgery. Half a month after the headache aggravated, dizziness, diplopia. Neurological hospital found that the left cranial nerves Ⅴ, Ⅵ, Ⅶ, Ⅷ dysfunction, the neck slightly resistant, lumbar puncture pressure normal, cerebrospinal fluid micro-turbidity, Pan’s test was weakly positive. Suspected secondary otitis media intracranial infection on April 19, 1982 transferred to our hospital. Check: left ear is a mastoid root