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患者,女,23岁。因“行走困难伴双侧听力进行性下降1年”于2008年3月第1次入院,颅脑MRI检查(图1)提示:双侧桥小脑角区肿瘤,右侧脑室肿瘤,体格检查:神志清楚,发音含糊,双侧瞳孔等大等圆,直径3.0 mm,对光反射灵敏,双眼可见水平眼震,双侧听力丧失,左咽反射减退,呛咳,四肢肌力3级,指鼻试验及跟膝胫试验阳性。家族中无神经纤维瘤及脑膜瘤病史。诊断为:(1)Ⅱ型神
Patient, female, 23 years old. Due to “walking difficulties with bilateral hearing decreased 1 year ” in March 2008 the first admission, brain MRI examination (Figure 1) Tip: bilateral cerebellopontine angle tumors, right ventricular tumors, physical Check: conscious, vague vocal, bilateral pupil and other large round, diameter 3.0 mm, sensitive to light reflection, binocular visible nystagmus, bilateral hearing loss, left pharyngeal reflex, choking, limb muscle strength 3, Finger nose test and knee-tibia test positive. No history of neurofibromatosis and meningioma in the family. Diagnosed as: (1) type Ⅱ God