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我们成功地治疗1例巨大斜坡脊索瘤,手术效果满意,经6个月随访,患者生活已自理。病例报告患者女,30岁,枕颈部疼痛,言语不清,吞咽呛咳,咳痰困难6月,视力模糊1月。查体:一般情况差,极度消瘦,呼吸道有痰鸣。双侧外展神经麻痹,左为重;左侧面部感觉差;左侧软腭麻痹,右侧上提困难;双侧咽反射消失;双侧舌肌明显萎缩,伸舌困难。入院后有频繁头痛呕吐.MR 显示:T_1加权图枕骨斜坡破坏肿
We successfully treated 1 case of giant chordate chordoma with satisfactory surgical results. After 6 months of follow-up, our patients have taken care of themselves. Case report Female patient, 30 years old, occipital and neck pain, slurred speech, swallowing cough, expectoration difficulty June, blurred vision in January. Physical examination: poor general condition, extreme weight loss, respiratory tract phlegm. Bilateral abducens nerve paralysis, the left is heavy; left facial feeling is poor; paralysis of the left soft palate, the right lifting difficulties; bilateral pharyngeal reflex disappeared; bilateral tongue muscle atrophy, tongue extension difficulties. There was frequent headache and vomiting after admission, and MRI showed that the T_1-weighted image showed destruction of the occipital slope