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患者女,53岁。因头痛、头昏20余天入当地医院诊治。体检:患者生命体征平稳,行走时有歪斜,肌力、肌张力正常,脑膜刺激征阴性,病理反射未引出。影像学磁共振(MRI)检查:1左侧颞叶、岛叶及基底节区肿瘤内出血,考虑胶质瘤可能;2左侧乳突炎症(图1);PET-CT全身扫描未见其它转移灶。患者于当地医院行左侧颅内占位切除术,术后病理示恶性肿瘤,遂至本科会诊。病理检查巨检:会诊切片为灰白、灰红色碎组织,大小
Female patient, 53 years old. Due to headaches, dizziness more than 20 days into the local hospital for treatment. Physical examination: patients with stable vital signs, walking skew, muscle strength, muscle tone normal, negative meningeal irritation, pathological reflex did not lead. Imaging Magnetic resonance imaging (MRI) examination: 1 Left temporal lobe, insula and basal ganglia tumor hemorrhage, consider the possibility of glioma; 2 left mastoid inflammation (Figure 1); no other metastases in PET-CT whole body scan kitchen. Patients in the local hospital left intracranial space excision, postoperative pathology showed malignant tumor, then to the undergraduate consultation. Pathological examination giant check: consultation section is gray, gray and red broken tissue, size