论文部分内容阅读
病例摘要例1:男,35岁。无诱因左侧头痛10天,左上睑下垂3天,视物双影1天,于1986年10月13日入院。无呕吐、发热,既往无头痛。检查:左上睑下垂,双睑闭合有力,左眼球内收不全,右眼球外展时轻度水平性眼震,瞳孔等大,光反应正常。无视乳头水肿与面舌瘫。入院第2天左眼球除外展外,余各方运动不能,第3天始左侧瞳孔逐渐散大至6mm,光反应消失。腰穿压力1.21kPa,脑脊液、血糖值正常,脑 CT、脑电图
Case Summary Example 1: Male, 35 years old. No incentive left headache for 10 days, left ptosis 3 days, depending on the material double shadow 1 day, on October 13, 1986 admission. No vomiting, fever, no previous headache. Check: Left upper eyelid ptosis, double eyelid closure force, left eye adduction incomplete, right eye ball abduction mild horizontal nystagmus, pupil and other large, normal light response. Ignore the nipple edema and facial paralysis. On the second day after admission, the left eye except for the extraterrestrial, I can not exercise all parties, the first three days left pupil gradually dispersed to 6mm, light reaction disappeared. Waist wear pressure 1.21kPa, cerebrospinal fluid, normal blood glucose levels, brain CT, electroencephalogram