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我科在三十年间的外检资料中遇到一例颅内表皮样囊肿恶性变,现报告如下: 梁×× 女 14岁,因头痛伴间断性恶心呕吐二个月,于1984年4月17日入院,患者不伴发烧,无癫痫史,在外院按“病毒性脑炎”治疗近二个月无效。查体:一般情况可,神志清楚,定向力及智力正常。颈软,双眼底水肿Ⅱ°。刚上下肢肌力Ⅵ级,腱反射亢进,巴彬氏征(±)。脑超声波:中线左移0.6cm。入院后患者头痛剧烈,精冲差,急查CT脑扫描提示:右额叶较大占位病变,恶性肿瘤可能大。急诊开颅探查,手术见:肿瘤位于右额叶皮质下1.0cm处,囊性,大小约5×6×7cm,有包膜,内侧紧贴大脑镰,囊内含豆渣样物质。将
Our department in 30 years of foreign inspection materials encountered a case of epidermoid cyst malignancy, are reported as follows: Liang XX female 14 years old, due to headache with intermittent nausea and vomiting for two months, in April 1984 April 17 Day admission, patients without fever, no history of epilepsy, outside the hospital by “viral encephalitis” treatment nearly two months invalid. Physical examination: the general situation may, conscious, orientation and mental normal. Neck soft, double edema Ⅱ °. Just on the lower limb muscle strength Ⅵ level, tendon hyperreflexia, Palin’s sign (±). Brain ultrasound: the center line to the left 0.6cm. After admission, patients with severe headache, fine red precision, acute scan CT brain scan: large right lesion lesions, malignant tumors may be large. Emergency craniotomy exploration, surgery see: tumor located in the right frontal cortex 1.0cm, cystic, size of about 5 × 6 × 7cm, a capsule, the inner close to the falx, capsule containing bean residue-like substances. will