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“中风样”发病的脑瘤并非少见,近一年来我们遇到三例脑瘤误诊为中风的病例,分别经脑血管造影、CT检查及手术证实.现就误诊原因和体会报告如下. 例1,男、53岁,工人,1982年9月7日晚间小便时右上肢突然不能活动.按摩稍好.晨起右上下肢完全瘫,说话不清.翌日入院治疗.无头痛呕吐,平素身体健康.检查:神清,表情淡漠.血压135/90.不全运动性失语.眼底正常.右侧半身中枢性瘫,上下肢肌力Ⅰ级.右痛觉减弱.右巴彬斯基征(+),脑脊液蛋白含量100mg%.诊
Stroke-like brain tumors are not uncommon. In the past year, we encountered three cases of misdiagnosed brain tumors as stroke, which were confirmed by cerebral angiography, CT and surgery, respectively. The causes and experience of misdiagnosis are as follows. , Male, 53 years old, worker, sudden right upper extremity suddenly unable to move during the night of September 7, 1982. Massage is slightly better. Morning right upper extremity complete paralysis, vomiting. The next day hospitalization. No headache and vomiting, usually healthy. Check: God clear expression of indifference .Physiopsia 135/90. Not full-motion aphasia. Fundus normal right hemiplegia central and upper extremity muscle strength grade I. Right pain decreased Right Babinski sign (+), cerebrospinal fluid Protein content 100mg%. Consultation