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患者男性,60岁。因头痛2年,加重伴左侧肢体无力1个月入院。入院前15天在湖南医学院附属一院CT扫描诊断:“右额顶区占位性病变,胶质瘤可能性大”。查体:被动体位,左侧肢体中枢性偏瘫,脑膜刺激征阳性。经脱水、对症治疗后头痛稍减轻,偏瘫同前。后转入广州南方医院行右额顶区开颅肿瘤摘除术。病理切片为未分化大细胞肺癌转移。摄X绂胸片诊断右侧中央型肺癌。术后半月左侧下肢恢复正常。
The patient is male, 60 years old. Due to headache for 2 years, he was aggravated with left limb weakness for 1 month. On the CT scan of the First Affiliated Hospital of Hunan Medical University, 15 days before admission, “The occupying lesions in the right frontal area were more likely to have gliomas.” Physical examination: passive posture, central limb hemiplegia, positive meningeal irritation. After dehydration and symptomatic treatment, the headache was slightly reduced and the paralysis was the same as before. After the transfer to Guangzhou Nanfang Hospital, the right forehead area craniotomy tumor removal. Pathological sections were undifferentiated large cell lung cancer metastases. Photographs of X-rays on the right side of the central lung cancer diagnosis. Half of the left lower limbs returned to normal after the operation.