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作者报告一例左侧与大脑中动脉的颞叶皮质支吻合术后9个月,在血流通畅的情况下于吻合口区形成了一个多形性胶质母细胞瘤。男性,59岁,2年之间曾发生过两次一过性脑缺血发作以语言困难及右侧面、臂和腿力弱为表现。入院前两天,又有类似发作,且于20小时内尚未完全恢复。过去病史无特殊。第一次入院后体检:病人神清,有定向力,对近事记忆力差,间歇性表达性言语困难,右侧轻度中枢性面瘫,伴右侧轻偏瘫及反射亢进。脑扫描显示左颈动脉和大脑中动脉血流减少,同时,在左颞后区疑有异常的同位素积聚。三周后脑扫描重复,
The authors report a case of an anaplastic glioblastoma in the anastomosis area after an anastomosis of the temporal cortex branch of the left and middle cerebral arteries 9 months after surgery. Men, 59 years old, had had two transient episodes of cerebral ischaemia episodes with language difficulties and weakness in the right side, arms, and legs. Two days before admission, there were similar attacks and not fully recovered within 20 hours. There is no special history in the past. Physical examination after admission for the first time: The patient was clear-headed, had directional power, had poor memory of recent events, intermittent expressive language difficulties, a mild central facial paralysis, right hemiplegia, and hyperreflexia. Brain scans showed a decrease in blood flow in the left carotid artery and middle cerebral artery, and an abnormal accumulation of isotopes was suspected in the left posterior tibial area. Three weeks later, the brain scan repeats