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病人女性,49岁,79年9月17日以头痛、呕吐,步态不稳,视力障碍和近事遗忘收入院.病人于77年10月起头痛,78年6月头痛加剧伴步态不稳和听力障碍.78年9月卧床不起,伴语无伦次和突然发笑.79年1月尿失禁,右耳鸣,视物模糊,入院前半年出现近事遗忘.入院体检发现有轻度痴呆,两眼视盘水肿,左侧同向偏盲,右中枢性面瘫,两侧耳聋和强笑.X线摄片颅骨无异常.脑血管造影发现三脑室后部有一巨大肿瘤,对侧脑室对称性扩大;肿瘤供血血管为双侧内、外脉络丛后动脉和右侧脑膜中、后动脉,肿瘤染色均匀,双侧大脑内静脉明显压低,大脑大静脉和直窦模糊不清.CT扫描显示大脑镰状天幕区有一巨大的边缘清晰的高密度区,延及幕下间隙,首次手术于79年
Patient female, 49 years old, on September 17, 79 with headache, vomiting, gait instability, visual impairment, and recent forgotten income hospital. The patient had a headache in October of 2007, and in June 78 the headache increased with gait. Stable and hard of hearing. September 2007, bedridden, accompanied by incoherent and sudden laughter. In January of 1979, urinary incontinence, right tinnitus, blurred vision, recent accidents occurred in the first half of hospital admission. Admitted to the hospital for mild dementia, two Optic disc edema, unilateral hemianopia on the left side, right central facial paralysis, deafness and strong laughter on both sides. X-ray film showed no abnormalities in the skull. Cerebral angiography revealed a giant tumor in the posterior third ventricle with symmetrical symmetry in the contralateral cerebral ventricle. The blood supply vessels were bilateral internal and external choroidal plexus and posterior middle meningeal and posterior arteries. The tumors were evenly stained, the bilateral cerebral veins were significantly depressed, and the large cerebral veins and straight sinuses were unclear. The CT scan showed a cloudy vertex of the brain. The district has a huge, high-density area with clear edges, extending to the under-the-curtain gap. The first operation was performed in 79 years.