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张××,男,36岁,农民。因持续性头痛8个月,双上眼睑下垂,双眼视物模糊4个月,抽吸性血性鼻涕1个月,于1993年5月17日诊为鼻咽癌并颅内转移癌入院。 患者近8个多月无明显诱因的持续性头痛,尤以夜间加重。自认为是“感冒”,自服“安乃近”等镇痛药物治疗。服药后头痛有所减轻。7个月前诊为“血管神经性头痛”,予以654—2等血管扩张药物及镇静药物治疗1个月,仍未好转。4个多月前,双上眼睑下垂,双眼视物模糊,诊为眼肌麻痹性头痛予以对症处理,效果不佳。2个多月前,双上眼睑下垂加重,双眼视力,头痛难忍而行CT检查:示颅中凹有占位性病变,诊为“脑瘤”。1个多月前,双耳听力下降,抽吸性血性鼻涕
Zhang × ×, male, 36 years old, farmer. Due to persistent headache for 8 months, double upper eyelid ptosis, binocular vision obscure 4 months, suction bloody nose a month, on May 17, 1993 diagnosed as nasopharyngeal carcinoma and intracranial metastatic cancer hospitalization. Patients with nearly 8 months no significant incentive for persistent headache, especially at night aggravated. Since that is “cold”, self-service “analgin” and other analgesic drug treatment. After taking a headache has been alleviated. 7 months ago diagnosed as “vascular neuropathic headache”, to 654-2 and other vasodilators and sedative drugs for 1 month, has not improved. More than 4 months ago, double upper eyelid ptosis, binocular vision blurred, diagnosed as ophthalmoplegia headache symptomatic treatment, the effect is not good. More than 2 months ago, double eyelid ptosis, binocular vision, headache unbearable CT examination: showed concave occupying lesions in the skull, diagnosed as “brain tumor.” More than 1 month ago, hearing loss of both ears, pumping bloody nose