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患者 男,57岁。3个月前无何诱因感头痛,逐渐加剧,近一周呕吐数次。并感右侧上下肢无力。于1987年7月4日入院。体检:嗜睡,颅神经未见异常。右侧上下肢肌力3级,右下肢巴彬斯基氏征(+)。颅脑 CT 扫描示左颞叶-5.5×4.3cm 高密度影,CT 值17.1～61.5Hu,强化后47.2～114.6Hu,并有占位效应。8月10日在全麻下行左颞开颅肿瘤切除术。术中见硬脑膜色泽正常。于颞叶前部切开皮层深达1.5cm 见一灰红色瘤体,边缘清楚,血运不丰富。基底于颞叶底部,与硬脑膜无
Male patient, 57 years old. 3 months ago, no incentive inducement headache, and gradually aggravate vomiting several times a week. And feel the right upper limb weakness. On July 4, 1987 admitted. Physical examination: lethargy, no abnormal cranial nerves. Right upper extremity muscle strength 3, right lower limb Babinski’s sign (+). Brain CT scan showed the left temporal lobe -5.5 × 4.3cm high density, CT value of 17.1 ~ 61.5Hu, enhanced 47.2 ~ 114.6Hu, and the placeholder effect. August 10 underwent left temporal craniotomy tumor resection. Intraoperative see dura normal color. In front of the temporal cortex cut open cortex 1.5cm see a gray-red tumor, clear edge, blood is not rich. Basal temporal lobe at base, with no dura