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患者女,17岁,头痛1月,加重伴呕吐1周。无发热、抽搐、视力下降及阳性体征。头颅CT检查:大脑左侧枕叶可见一个椭圆形低密度病灶,约3.0cm×4.0cm×6.5cm,CT值19Hu,可见完整的囊壁,较光滑,病灶周围水肿带明显,左侧侧脑室受压移位,中线结构明显右移;增强后囊壁有明显强化,病灶内CT值19.7Hu.未见强化。考虑为左枕叶脑脓肿。局麻下行钻颅脑脓肿穿刺引流术,抽吸出草黄色囊内液约20ml。扩大切口及骨窗,发现左忱皮层下3cm处有一囊性肿块,灰黄色,
Female patient, 17 years old, headache in January, aggravated with vomiting for 1 week. No fever, convulsions, decreased visual acuity and positive signs. Head CT examination: the left occipital lobe shows an oval low-density lesions, about 3.0cm × 4.0cm × 6.5cm, CT value 19Hu, shows a complete wall, more smooth, obvious edema around the lesion, the left lateral ventricle Compression displacement, the midline structure was significantly shifted to the right; enhanced posterior wall was significantly enhanced, focal CT value 19.7Hu. No enhancement. Considered as a left occipital lobe brain abscess. Local anesthesia drilling craniocerebral abscess drainage, pumping out the grass-yellow capsule solution about 20ml. Enlarge the incision and bone window, found in the left cortical 3cm at a cystic mass, gray, yellow,