论文部分内容阅读
1临床资料例1女,31岁,因突发剧烈头痛、左眼睑下垂、右侧面部麻木、疼痛1周入院。查体:神志清楚,左侧左上限睑下垂,瞳孔稍大于右侧,对光反应灵敏,左眼球外展运动受限,右侧面部三叉神经2、3支分布区痛觉稍减退,四肢肌力、肌张力正常,病理反射(-),脑膜刺激征(-)。CT平扫发现双侧弥漫性蛛网膜下腔出血,前纵裂池、双侧外侧裂池出血,未形成明显血肿。急诊CTA检查,发现双侧后交通动脉瘤,左侧后交通动脉瘤呈“圆锥
1 clinical data 1 female, 31 years old, due to sudden severe headache, left eyelid ptosis, right facial numbness, pain, 1 week admission. Physical examination: Consciousness, left upper left eyelid ptosis, pupil slightly larger than the right, sensitive to light, left eye ball outreach exercise limited, right trigeminal nerve trigeminal distribution of 2,3 pain relief slightly diminished, muscle strength of the limbs , Normal muscle tone, pathological reflex (-), meningeal irritation (-). CT scan showed diffuse bilateral subarachnoid hemorrhage, anterior longitudinal split pool, bilateral lateral fissure hemorrhage, no significant hematoma. Emergency CTA examination found bilateral posterior communicating aneurysms, left posterior communicating artery aneurysm was ”cone