【摘 要】
：
1 病例报告 患者男,59岁.主因“发热、头痛2周,言语不清2d”入院.2周前出现发热,体温波动于37.2～37.5℃,未予治疗,后出现右侧颞枕部发作性胀痛,每次发作持续约20 min,每天发作
【机 构】
：
050000,河北医科大学第二医院神经内科
论文部分内容阅读
1 病例报告 患者男,59岁.主因“发热、头痛2周,言语不清2d”入院.2周前出现发热,体温波动于37.2～37.5℃,未予治疗,后出现右侧颞枕部发作性胀痛,每次发作持续约20 min,每天发作次数不定,伴视物模糊,偶有视物成双及耳鸣.入院2d前出现言语含糊不清及音调减低.既往体健.入院查体:一般内科情况可,构音障碍,余查体未见异常.头颅增强MRI检查示脑实质内弥漫结节状、环状明显强化灶,右枕叶皮层者较大;DWI检查结果显示病变均呈稍高信号,其中右侧顶叶病变环形高信号,相应ADC值减低,余大部ADC信号增高(图1).胸腹部MRI检查未见明显异常.血常规检查示单核细胞百分比15.85％,嗜酸性粒细胞百分比13.87％,红细胞计数3.61×1012/L,血红蛋白111 g/L.
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