论文部分内容阅读
患者 男,36岁。因头疼半年,头昏、右侧肢体无力2个月,小便失禁、左侧肢体无力20天于1997年2月26日收入院。于入院前6个月自觉枕部及两颞侧紧缩样头痛,思维活动频繁后加重。无恶心、呕吐以及大小便障碍,肢体活动自如。MRI示:双侧丘脑、基底节区、桥脑及中脑基本对称的长T1、长T2信号。虽经治疗,但病情呈渐进性加重,出现声音嘶哑,反应迟钝,计算力下降,视力减退等症状。继而小便失禁,左侧肢体无力,逐渐不能行走。既往体健,智力良好。饮酒史10年,日饮量250～500g。入院查体:体温36.8℃,心率100次/分,呼吸20次/分,血压18/12kPa。神清,表情淡漠,反应迟钝,声
Male patient, 36 years old. Due to a headache for six months, dizziness, weakness in the right limb 2 months, urinary incontinence, left limb weakness 20 days in February 26, 1997 income hospital. 6 months before admission conscious occipital and two temporal twitch-like headache, frequent mental activity increased. No nausea, vomiting and urinary incontinence, physical activity freely. MRI showed: bilateral long thalamus, basal ganglia, pons and midbrain symmetrical long T1, long T2 signal. Although treated, but the condition was progressive increased, there hoarse voice, unresponsive, decreased computing power, vision loss and other symptoms. Then urinary incontinence, left limb weakness, and gradually unable to walk. Past physical health, good intelligence. 10 years of drinking history, daily drinking 250 ~ 500g. Admission examination: body temperature 36.8 ℃, heart rate 100 beats / min, breathing 20 beats / min, blood pressure 18 / 12kPa. Clear, indifferent expression, unresponsive, sound