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患者,男,58岁,主因“左眼视力下降伴肿胀感6d”入院。入院后查体:见左侧眼睑轻度下垂,上抬无力,角膜反射正常。其余全身检查未见异常。鼻咽镜检查示:鼻咽部未见新生物。鼻咽部增强CT示:鞍区可见不规则软组织密度影。平扫、动脉期、静脉期和延迟期CT值分别为30、41、44和44HU,病变向上生长,突破鞍膈,向下生长,局部凸向蝶窦左侧分隔,蝶窦及后床突受压致骨质变薄,局部骨质吸收;双侧海绵窦未见明显受压;诸脑室、脑池系统轻度扩张;中线结构居中,无偏移。
Patients, male, 58 years old, mainly due to “left eye vision with swelling 6d ” admitted. After admission, physical examination: see the left eyelid ptosis, lifting weakness, normal corneal reflex. The rest of the body examination showed no abnormalities. Nasopharyngeal examination revealed no new creatures in the nasopharynx. Nasopharyngeal enhanced CT showed: irregular soft tissue density can be seen in the sellar area. The CT values of plain, arterial phase, venous phase and delayed phase were 30, 41, 44 and 44HU, respectively. The lesions grew upwards, broke through the mediastinum and grew downwards. Local convexities were separated to the left of sphenoid sinus, sphenoid sinus and posterior bed Compression caused by bone thinning, local bone absorption; bilateral cavernous sinus no significant compression; the ventricles, cerebral pool system mild dilatation; central line structure is centered, no offset.