脑外伤后胶质瘤二例
Chinese Journal of Neurosurgery(2014)
Abstract
例1 男,52岁.因右侧肢体活动不灵伴麻木20 d入院.查体:神清语明,双侧瞳孔等大同圆,直径约3.0 mm,直间接对光反射灵敏,左侧顶枕部可见颅骨向内凹陷,大小约3.0 cm ×3.0 cm,深约1.0 cm,右侧肢体肌力Ⅳ级,左侧肢体肌力Ⅴ级,余神经系统查体无阳性体征.既往史:患者2岁时左顶枕部受外伤致颅骨凹陷性骨折,非手术治疗.辅助检查:MRI平扫提示左侧顶叶可见一团块状异常信号影,其内信号欠均匀,增强扫描病灶不规则强化,边缘可见大片状水肿信号影环绕.左侧脑室受压,中线结构略右移(图1a,b).
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