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李某,男,8岁。因厌食、消瘦5月余入院,时有头痛。无呕吐、抽搐,无多饮多尿。曾在外院诊断为营养不良。生后无窒息及抽搐,家族史中无特殊记载。查体;体重13kg,身长93cm,发育瘦小,智力正常。全身皮肤干燥,弹性差,皮下脂肪消失。心肺无异常,舟状腹,肝脾未触及。四肢肌萎缩,肌力、肌张力正常,无感觉障碍。视力、视野正常。性器官及第二性征无异常,神经系统无异常。颅骨侧位片:脑回压迹多而明显,蝶鞍偏大。CT检查,CM线10～14mm层面,鞍上池内可见3.16cm×4.54cm的低密度病变影,呈囊性改变,其内可见点片状钙化,CT值16～103H病变向下突入鞍区,向上达三脑室前部。诊断为颅咽管瘤。自动出院。
Lee, male, 8 years old. Due to anorexia, weight loss more than 5 months admitted, there are headaches. No vomiting, convulsions, no more drink more urine. Have been diagnosed in the outer hospital malnutrition. No suffocation and convulsions after birth, no special family history records. Physical examination; weight 13kg, length 93cm, developmental thin, mental normal. Dry skin, poor elasticity, subcutaneous fat disappears. No abnormal heart and lung, scaphoid, liver and spleen not touched. Limb muscle atrophy, muscle strength, muscle tone normal, no sensory disturbances. Vision, normal vision. No abnormalities in sexual organs and secondary sexual characteristics, no abnormalities in the nervous system. Lateral skull: back and more traces of the brain obvious, larger sella. CT examination, CM line 10 ~ 14mm level, saddle on the pool visible 3.16cm × 4.54cm low-density lesions, showed cystic changes, which showed flaky calcification, CT values 16 ~ 103H lesions broke down into the saddle area, Up to the front of the third ventricle. Diagnosis of craniopharyngioma. Discharged automatically.