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病历摘要男,19岁,学生。于1983年7月起倦怠无力、嗜睡、反应迟钝,食量增多为以前的2倍,饮水量及尿量正常,体质逐渐肥胖,伴持续性头痛,无恶心、呕吐及抽搐发作。20天后出现精神症状,表现不知羞丑及夸大妄想,于9月入精神病院,诊断精神分裂症,经治疗精神症状好转,但头痛剧烈,经腰穿发现颅内压增高而转入神经科。既往否认结核史及抽搐史。查体:意识清楚,合作。反应迟钝,略淡漠,
Medical summary Male, 19 years old, student. Since July 1983, she has been tired, lethargy and unresponsive. Her appetite for food has been doubled as before. Her drinking water and urine output have become normal. Obesity gradually increases with persistent headache, nausea, vomiting and convulsions. 20 days after the emergence of mental symptoms, I do not know the performance of shame ugly and exaggerated delusions, into the psychiatric hospital in September, the diagnosis of schizophrenia, psychiatric symptoms improved, but the headache was severe, found by lumbar puncture increased intracranial pressure and transferred to neurology. Past history of tuberculosis and convulsions were denied. Examination: Consciousness, cooperation. Unresponsive, slightly indifferent,