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木本文病例即是星形细胞瘤误诊为脑血栓,现报道如下。患者,男,60岁。半个月前干半夜睡眠中发病,左侧面部抽搐数分钟缓解,晨起左恻肢体无力,3天后左上、下肢轻瘫。病后无头痛、呕吐,以脑血栓收住院。既往高血压23/15kPa,已6年,冠心病2年。查体:体温36.2℃,脉搏72次/分,血压21/12kPa,意识清楚。内科无异常。眼底双侧视乳头境界清楚,动脉硬化1级。左侧中枢性面及舌下神经瘫,在侧上、下肢轻瘫,肌力3~4级,肌张力高,左侧Chaddock征
Woody case that is misdiagnosed as astrocytoma cerebral thrombosis, are reported below. Patient, male, 60 years old. Half a month ago onset of sleep in the middle of the night, the left side of the facial convulsions for several minutes to ease, early morning 恻 left limb weakness, upper left three days later, lower extremity paresis. After the illness without headache, vomiting, cerebral thrombosis admitted to hospital. Previous hypertension 23 / 15kPa, 6 years, 2 years of coronary heart disease. Physical examination: body temperature 36.2 ℃, pulse 72 beats / min, blood pressure 21 / 12kPa, conscious. No abnormal medical. Eyes bilateral nipple clear boundary, atherosclerosis level 1. On the left side of the central and sublingual nerve paralysis, on the side, lower limb paresis, muscle strength of 3 to 4, high muscle tension, left Chaddock sign