论文部分内容阅读
讨论病史特点:(1) 中年女性。(2) 起病渐进。(3)先有精神症状,后有失语和右侧肢体瘫痪。(4) 运动性失语,右侧中枢性面瘫,伸舌偏右。右上肢肌力Ⅰ°,右下肢肌力Ⅱ°。双侧病理征阳性。(5) 腰穿脑脊液压力偏高。抗核因子阳性。IgG和IgM升高。白细胞计数中性偏高。血沉73毫米/1小时。根据上述临床表现,颅内病变可以肯定,而且主要病变在左侧
Discuss the history of the characteristics: (1) middle-aged women. (2) gradual onset. (3) first mental symptoms, after aphasia and paralysis of the right limb. (4) exercise aphasia, the right side of the central paralysis, stretch tongue right. Right upper limb muscle strength Ⅰ °, right lower limb muscle strength Ⅱ °. Bilateral pathology sign positive. (5) lumbar puncture cerebrospinal fluid pressure is high. Anti-nuclear factor positive. IgG and IgM increased. Neutrophil count high. ESR 73 mm / 1 hour. According to the above clinical manifestations, intracranial lesions can be affirmed, and the main lesion on the left