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本文报早八例临床诊断为闭塞性脑血管病的脑肿瘤患者。本组病例的特点是:患者年龄较大,大多数有偏瘫及癫痫发作,早期都没有颅压增高征象,后均证实为颅内肿瘤。本文通过临床症状的分析指出:脑动脉血栓形成和脑肿瘤出现的偏瘫是有区别的,还分析了脑肿瘤症状的好转及突然加重的原因,并强调癫痫多见于脑肿瘤而少见于脑血管病。在临床上如果同时或相继出现了意识障碍、头痛、呕吐等,即使无眼底乳头水肿或腰穿脑压不高,对脑动脉血栓形成的诊断,也要高度怀疑它的准确性。当然最后的确诊要取决于特殊检查。
This article reported as early as eight cases of clinical diagnosis of occlusive cerebrovascular disease in patients with brain tumors. The characteristics of this group of patients are: older patients, most have hemiplegia and seizures, early signs of increased intracranial pressure were confirmed after intracranial tumors. This article through the analysis of clinical symptoms pointed out: Cerebral arterial thrombosis and brain tumors appear hemiplegia is a difference, but also analyzed the brain tumor symptoms and the sudden increase in the reasons, and stressed that epilepsy more common in brain tumors and rare in cerebrovascular disease . Clinically, if at the same time or have a disturbance of consciousness, headache, vomiting, etc., even without fundopia or papillary edema is not high, the diagnosis of cerebral artery thrombosis, but also highly doubt its accuracy. Of course, the final diagnosis depends on the special examination.