论文部分内容阅读
颅底占位性病变较少见,易误诊。本文报告10例,重点讨论其临床特点和诊断问题。本组10例,男9例,女1例。年龄23~72岁,平均43岁。病程7天~4年,平均14个月。亚急性起病4例,缓慢起病6例。7例以声音嘶哑、饮水呛咳首发。查体发现颈静脉孔综合症7例,病变侧软腭活动差,咽反射消失,同侧胸锁乳突肌和斜方肌力弱萎缩。其中4例伴有同侧舌肌萎缩纤颤,1例有同侧周围性面瘫。3例以剧烈头痛首发,枕
Lesions of the skull base occupancy less common, easy to misdiagnosis. This article reports 10 cases, focusing on its clinical features and diagnosis problems. The group of 10 patients, 9 males and 1 female. Age 23 to 72 years old, average 43 years old. Duration of 7 days to 4 years, an average of 14 months. Subacute onset in 4 cases, 6 cases of slow onset. 7 cases hoarse voice, cough cough water starter. Physical examination found jugular foramen syndrome in 7 cases, the lesion side of the soft palate activity is poor, pharyngeal reflex disappeared ipsilateral sternocleidomastoid and trapezius muscle weak atrophy. 4 cases were accompanied by ipsilateral tongue atrophy fibrillation, 1 case of ipsilateral peripheral facial paralysis. 3 cases with severe headache starting, pillow