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患者,女,32岁.因低热,偶有呕吐和左半身无力46天入院.自幼右耳流脓,80天前又急性发作行乳突根治术。术后1周突然呕吐、昏迷,当地医院右颞钻孔穿刺抽出脓液20ml,神志转清,5天后又抽出7ml,冲洗脓腔注入庆大霉素8万u,症状明显好转。46天来又低热,偶有呕吐,转来我院. 查体:左上下肢肌力Ⅳ级,左侧指鼻试验略显笨拙。脑超声波显示中线波向左移位。右颈动脉造影显示右顶叶占位性病变,同时发现颈内动脉虹吸段囊性动脉瘤.右顶叶穿刺抽出3ml粉红色粘
Patient, female, 32 years old. Because of low fever, occasional vomiting and weakness in the left half of the body was admitted to the hospital for 46 days. The right ear had pus since childhood, and 80 days later acute mastoidectomy was performed. Sudden vomiting and coma occurred 1 week after surgery. The local hospital bored and punctured 20 ml of pus from the right iliac crest, cleared his mind, and after 5 days he took out 7 ml of gentamicin 80,000 u, and the symptoms improved. 46 days and low fever, occasional vomiting, transferred to our hospital. Physical examination: left upper and lower limb muscle strength IV, left finger nose test a bit clumsy. Brain ultrasound shows that the midline wave shifts to the left. Right carotid angiography showed right parietal occupying lesions, and cystic aneurysms in the siphonic segment of the internal carotid artery were found. The right parietal puncture removed 3 ml of pink stick