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1病例患者,男,37岁。头痛、头晕、言语不流利1月余入院。入院前1月因头痛、言语不流利在当地医院就诊。头部CT示左侧颞叶高密度影(图1)。以脑出血保守治疗1月后复查CT提示血肿部分吸收,左侧颞叶高密度影,考虑左颞叶肿瘤并出血,转入本院。入院查体:神清,语言欠流利,双侧瞳孔直径2.5 mm,对光灵敏,四肢肌力5级,肌张力正常,双侧巴氏征阴性。头部MRI示左侧颞叶团块状高信号影,大小约4 cm×3 cm×5 cm,周围伴水肿改变(图2)。
1 case patients, male, 37 years old. Headache, dizziness, fluent speech more than 1 month admitted to hospital. January due to headache before admission, speech is not fluent in the local hospital. Head CT showed left temporal lobe high density (Figure 1). Conservative treatment of cerebral hemorrhage in January after review of CT showed hematoma absorption, left temporal lobe high density, consider the left temporal lobe tumor and bleeding, transferred to our hospital. Admission examination: Shen Qing, language less fluent, bilateral pupil diameter 2.5 mm, sensitive to light, limb muscle strength 5, normal muscle tone, bilateral Pakistan’s negative sign. Head MRI showed the left temporal lobe mass-like high signal, the size of about 4 cm × 3 cm × 5 cm, surrounded by edema (Figure 2).