我科收治1例以多数颅神经损伤为首发症状,酷似脑干病变经CT证实为小脑肿瘤报告如下: 患者女,24岁,于1985年8月无何诱因自觉右侧面部麻木,说话发笨,逐渐出现饮水返呛,吞咽困难,张口嘴歪,有时右耳听力减退。一个月后某日晨起,发现左侧肢体麻木,活动欠灵。但无头痛,抽搐、尿便失禁及意识障碍。当地医院诊为“脑血栓”经治疗无好转,且上述症状加重。又出现头晕、耳鸣,站立不稳,走路摇晃,需别人扶持才能前行。病程中无缓解。于1985年10月21日来诊,门诊以“脑干病变”收住院。查体:神清、语言欠流畅,鼻音重。双瞳等大同圆,光反应存在。双眼可见旋转眼震,双眼底正常。右眼外展不全,右侧角膜反射消失。右鼻唇沟 I received 1 case of cranial nerve injury as the first symptom, resembles a brainstem lesion confirmed by CT cerebellar tumor reports are as follows: Female patient, 24 years old, in August 1985 without any incentive to consciously right facial numbness, stupid speech , Gradually appear back to choking drinking water, swallowing difficulties, mouth mouth crooked, and sometimes right ear hearing loss. One day later one day later, she found the numbness of the left limb and poor activity. But no headache, convulsions, urinary incontinence and unconsciousness. Local hospital diagnosed as “cerebral thrombosis” after treatment did not improve, and the above symptoms worse. Appeared again dizziness, tinnitus, standing instability, walking shaking, need others to support before going. No relief during the course of the disease. In October 21, 1985 came to the clinic, outpatient “brain stem lesions” admitted to hospital. Examination: Shenqing, language owed smooth, nasal weight. Double pupil and other Datong circle, light response exists. Eyes can be seen rotating nystagmus, both eyes normal. Right eye outreach, right corneal reflex disappeared. Right nasolabial groove