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患者女,45岁。2年前无明显诱因出现双眼视力减退,呈进行性加重,左侧为甚,伴头痛,无意识障碍,无呕吐,无四肢抽搐,无大小便失禁。实验室检查及胸部X线平片均未见异常。体检:无突眼,眼睑无水肿,结膜无充血。左眼视觉减弱明显MRI示鞍上及左颞叶不规则囊实性肿块,T2WI呈等高信号、T1液体衰减反转恢复序列(FALIR)呈等低信号,其边缘较清晰,其内可见液-液面(图1、2),海绵窦、左侧视神经颅
Female patient, 45 years old. 2 years ago, there was no obvious incentive for binocular vision loss, progressive increase, left side is even with headache, unconsciousness, no vomiting, no limbs convulsions, no incontinence. Laboratory tests and chest X-ray showed no abnormalities. Physical examination: no exophthalmos, eyelid edema, conjunctival hyperemia. Left visual impairment significantly MRI showed saddle and the left temporal lobe irregular cystic mass, T2WI showed a contour signal, T1 liquid attenuation inversion recovery sequence (FALIR) showed a low signal, the edge is more clear, the visible liquid - Level (Figure 1, 2), cavernous sinus, left optic nerve cranium