论文部分内容阅读
1 病例介绍 患者 男,56岁,右侧肢体无力、精神不振10天入院。自叙有头晕等“颈椎病”史20余年。查体:营养一般,双侧瞳孔直径及光反应正常。无面瘫,伸舌居中,右上下肢肌力Ⅳ极,肌张力正常。生理反射减弱,未引出病理反射。头颅CT示左额顶颞慢性硬膜下血肿,中线右偏1 cm。入院后行单孔引流术,术后复查CT,痊愈出院。4个月后患者再度出现右侧肢体无力,来我院复查头颅CT,示左额颞顶部慢性硬膜下血肿,中线轻度右偏。鉴于血肿复发,故行左额顶部分别
A case description Male patient, 56 years old, right limb weakness, lack of energy 10 days admitted to hospital. Since the narration of dizziness and other “cervical spondylosis” history of more than 20 years. Physical examination: general nutrition, bilateral pupil diameter and light response to normal. No facial paralysis, Tongue middle, right upper quadrant muscle strength Ⅳ pole, muscle tone normal. Weakened physiological reflex, did not lead to pathological reflex. Head CT showed the left frontoparietal and temporal subdural hematoma, right midline deviation 1 cm. Single-hole drainage after admission, postoperative CT review, discharged. 4 months after the patient again appeared on the right limb weakness, to review our head CT, left frontal temporal topical chronic subdural hematoma, midline mild right deviation. Given the recurrence of hematoma, so the left front row of the top respectively