临床讨论刘嘉祥医师本例为一10岁男性患儿,首发症状为头痛,相继出现发热,复视和呕吐,起病急,病情进展快,总病程才1个多月。神经系统检查除颅内压增高(头痛、呕吐、腰穿脑脊液压力增高,双眼底进行性加重之视乳头水肿,双眼外展受限),及脑膜刺激征外,其他未发现异常;入院第2天双侧脑室穿刺未成功,说明双侧侧脑室可能不扩大,其颅内压增高不是 Clinical Discussion Dr. Liu Jiaxiang This case is a 10-year-old male with headache, fever, diplopia and vomiting. The onset of his illness was rapid and the disease progressed rapidly. The overall course of disease was only over 1 month. Nervous system examination in addition to increased intracranial pressure (headache, vomiting, lumbar puncture increased cerebrospinal fluid pressure, binocular progressive aggravated papilledema, binocular abduction limited), and meningeal irritation, the other found no abnormalities; Admission 2 Day double-sided ventricular puncture did not succeed, indicating bilateral ventricles may not expand, the increase in intracranial pressure is not