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患者,男,60岁。4个月前因头痛、右侧肢体活动不灵在外院行“脑膜瘤”手术,术后恢复良好。1个月前出现右侧偏瘫井大小便失禁。疑脑膜瘤复发收入院。查体:精神差,吐字不清,反应迟钝,眼底水肿,右侧上下肢不完全偏瘫,上肢较重。CT示左顶枕叶5.7×5.1×4.8cm圆形低密度区,增强后呈薄壁环状强化,诊断为脑脓肿.术中见肿瘤位于右顶枕叶交界处,呈囊实性,直径约7cm,囊内含淡黄色液体,实性部分浸润硬脑膜,深达大脑镰,大部切除肿瘤送
Patient, male, 60 years old. 4 months ago due to headache, right limb movement is not working outside the hospital “meningioma” surgery, postoperative recovery was good. Right side of the paralysis well incontinence appeared 1 month ago. Suspected meningioma recurrence income hospital. Physical examination: poor spirit, unclear articulation, unresponsiveness, fundus edema, right upper and lower limbs not fully hemiplegia, upper extremities heavier. CT showed the top of the left occipital lobe 5.7 × 5.1 × 4.8cm circular low density area enhanced enhanced thin-walled ring enhanced diagnosis of brain abscess intraoperative see the tumor at the junction of the right top of the occipital lobe was cystic solid with a diameter of about 7cm , Capsule containing a light yellow liquid, the solid part of the infiltration of the dura, as deep as the falx, the majority of tumors removed