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最近遇1例烟雾病合并颞叶出血报告如下: 病历摘要患者,男,28岁,头痛,抽搐伴有意识障碍18天。于9月17日入院。于入院前18天头晕,头痛、起病当夜二点左右家人发现病人四肢抽搐,口吐白沫,小便失禁,当地医院腰穿为血性脑脊液。诊为“脑出血”,次日出现右侧肢体瘫。按脑出血治疗17天,病情不见好转,而转入本院。查体:血压120/90mmHg,病人木僵状态,并有违拗。两侧瞳孔不等大,右4mm,左3mm,对光反射灵敏,左侧视乳头界限欠清。右侧肢体肌肉萎缩,右上肢肌力“0”级,右下肢Ⅱ级,右侧肌张力增强,呈“析刀
Recently encountered a case of moyamoya disease with temporal lobe hemorrhage reported as follows: Patient summary, male, 28 years old, headache, convulsions associated with disturbance of consciousness 18 days. On September 17 admission. 18 days before admission, dizziness, headache, onset of the night about two people found that patients limbs twitching, foaming at the mouth, urinary incontinence, the local hospital lumbar puncture for bloody cerebrospinal fluid. Diagnosis as “cerebral hemorrhage”, the right side of the body appeared paralyzed the next day. Treatment of cerebral hemorrhage by 17 days, the condition did not improve, and transferred to our hospital. Physical examination: blood pressure 120 / 90mmHg, patients stupor, and contrary to the bend. Both sides of the pupil ranging from large, right 4mm, left 3mm, sensitive to light reflection, the left side of the nipple less clear. Right limb muscle atrophy, right upper extremity muscle strength “0” grade, right lower limb Ⅱ grade, right muscular tension increased, "knife