对放射性脑损害误诊为胶质瘤复发1例分析如下。1病历摘要女,49岁。因右上肢麻木、无力7 d入院。查体:右上肢肌力Ⅲ级,右下肢及左侧肢体肌力正常。颅脑CT及MRI示:左额叶占位。常规开颅手术切除肿瘤,术后肌力恢复为Ⅳ级,遗留言语不利。颅脑CT示:病灶全切除(见术前、术后CT片)。病 Radiation brain damage misdiagnosed as glioma recurrence in 1 case analyzed as follows. 1 medical record summary female, 49 years old. Due to the right upper limb numbness, weakness 7 d admission. Physical examination: right upper extremity muscle strength Ⅲ, right lower extremity and left limb strength normal. Brain CT and MRI showed: left frontal occupancy. Conventional craniotomy resection of the tumor, muscle strength was restored to grade Ⅳ, leaving the negative words. Brain CT showed: full excision (see preoperative and postoperative CT film). disease