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患者女,38岁.因头痛、眩晕、恶心呕吐5天于1992年9月18日入院.否认既往有类似发作史.体检:急性病容,眼球水平震颤(十),闭目难立征阳性,余未见异常.初诊“眩晕症”,给复方丹参、维脑路通静滴,入院第3天出现复视、左面部麻木不适及左耳听力下降.体检:左侧面部感觉减退,左眼球不能外展,左周围性面瘫,左感音性耳聋、左上、下肢共济运动障碍及右肢体肌力Ⅱ级、肌张力增高,病变定位于左脑桥小脑角处、在外院作MRI检查为“左桥小脑角占位:听神经瘤或脑干胶质瘤”.全麻下拟作肿瘤切除术,术中见在听神经完整,左小脑桥饱满,切开见白色样物,周围反复探查未见赘生物,速送冰冻切片为水肿液化组织,病理切片确诊为脑干毛细血管扩张症.
The patient, female, aged 38, was admitted to hospital on September 18, 1992 due to a headache, dizziness, nausea and vomiting, and admitted to a hospital on September 18, 1992. Denial of a history of previous episodes Physical examination: acute illness, tremor at eye level I found no abnormalities .New diagnosis of “vertigo”, to the compound Danshen, Venoruton intravenous infusion, admission on the 3rd day diplopia, left numbness and left ear hearing loss.Physiological examination: the left facial feeling decreased, the left eyeball Can not be outreach, left peripheral facial paralysis, left sensorial deafness, left upper limb and lower limb ataxia and right limb muscle strength grade Ⅱ, increased muscle tone, lesions located in the left cerebellopontine angle at the hospital for MRI examination as “ Left cerebellar angle occupying: acoustic neuroma or brain stem glioma. ”Under general anesthesia intended for tumor resection, surgery, see the auditory nerve in the surgery, the left posterior cerebral pontine full, cut open to see the white sample, around the repeated exploration no sign Biology, rapid delivery of frozen sections of edema liquefaction tissue, pathological diagnosis of brain stem telangiectasia.