患者 女性 50岁农民。因精神淡漠,易怒20年,按“精神病”治疗无效,症状逐年加重,左眼视力减退10个月,疑“颅内占位病变”于1991年7月15日住院。查体:欠合作,神志尚清,反应迟钝,语无伦次,易激动,骂人,双眼视力0.04,双侧视神经乳头边界不清,静脉行曲,双眼球活动欠灵活,右侧肢体轻偏瘫,肌力Ⅳ级(术前1天肌力为O～Ⅰ)。头颅X线平片报告为颅内高压。颅脑CT报告示左前额顶区脑膜瘤,与蝶骨嵴关系密切。全脑血管造影报告;左蝶骨嵴肿瘤(考虑为内侧中 Patient female 50 years old farmer. Because of apathetic, irritability 20 years, according to “mental illness” treatment is invalid, the symptoms increase year by year, left eye vision loss 10 months, suspected “intracranial space-occupying lesions” in July 15, 1991 hospitalization. Physical examination: lack of cooperation, clear consciousness, unresponsive, incoherent, irritability, curse, binocular visual acuity 0.04, bilateral optic disc defect, venous line song, both eyes ball activity is not flexible, right hemiparesis, muscle strength Ⅳ grade (1 day before the muscle strength of O ~ Ⅰ). Head radiographs were reported as intracranial hypertension. Brain CT report showed left frontal forebrain meningiomas, and the sphenoid ridge closely related. Cerebral angiography report; left sphenoid ridge tumor (considered medial