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患者男,21岁,1975年元月发现左枕部一约0.5×1cm 大小搏动性包块,无红肿压痛。78年左颞部亦发现同性质的包块,且逐渐增大。85年9月18日入院,曾行左枕部包块切除及畸形血管团结扎术,包块消失。88年7月4日原手术处及右颞枕部又出现性质同前的包块,且逐渐增大至全头皮。包块处头皮破损及出血多,且不易控制。于88年7月15日入我院。查体:全头皮明显高起2cm,双颞、枕、顶部有大小不等5个包块,并呈条索状相互交织融合,搏动明显。局部无压痛,神经系统检查无异常。88年7月24日在局麻下经皮穿刺股动脉插管选择性全脑血管造影,颅内血管未见异常。双侧颈外动脉显影示:双颞、
Male patient, 21 years old, January 1975 found that the left occipital about 0.5 × 1cm size pulsatile mass, no swelling and tenderness. 78 years left temporal lobe also found that the same mass, and gradually increased. September 18, 1985 admitted to the hospital, had a left occipital mass removal and deformity vascular ligation surgery, mass disappeared. July 4, 1988 the original operation and the right temporal occipital and the nature of the same mass before the mass, and gradually increased to the whole scalp. Scalp damage and hemorrhage at the mass and more difficult to control. On July 15, 1988 into our hospital. Physical examination: The whole scalp was apparently elevated 2cm, double temporal, occipital, top five sizes ranging from 5 mass, and were cord-like intertwined fusion, beating obvious. No local tenderness, nervous system examination no abnormalities. July 24, 1988 under local anesthesia percutaneous femoral artery cannulation selective whole cerebral angiography, intracranial blood vessels were normal. Bilateral external carotid artery imaging showed: double temporal,