病历摘要张××,男,35岁,山东人,干部,于1982年3月13日来我院就医。主诉:头痛一年多,有时发热。患者于1981年初开始出现头痛,普遍性,胀痛,厉害时伴呕吐;有时发热,体温37.4～37.8℃,曾在某医学院附属医院作腰穿,压力高达700毫米水柱,脑脊液白细胞160/立方毫米,淋巴细胞70%,蛋白60毫克%,糖和氯化物正常。曾按“结核性脑膜炎”治疗3个月,病情未见好转。既往无明确的吃“豆猪肉史,大便未解过绦虫。检查:神志清,体温37℃,无皮下结节,双侧视乳头边缘模糊,视网膜静脉充盈,右颞上方有片状出血,其它颅神经未见异常,四肢肌力、肌张力如常,腱反射适中、对称,无病理反射,腹壁及提睾反射阳性,无共济失 Medical records Zhang × ×, male, 35 years old, Shandong, cadres, came to our hospital on March 13, 1982 for medical treatment. Chief complaint: headache more than a year, sometimes fever. Patients began to have headache, generalized, painful and severe vomiting in early 1981; sometimes fever, body temperature 37.4 ~ 37.8 ℃, had a lumbar puncture in a Medical College Hospital, the pressure up to 700 mm water column, cerebrospinal fluid leukocyte 160 / cubic Mm, 70% of lymphocytes, 60 mg of protein, normal sugar and chloride. According to “tuberculous meningitis” for 3 months, the condition did not improve. Past no clear eating "History of beans and pork, stool uncovered tapeworms. Check: Consciousness, body temperature 37 ℃, no subcutaneous nodules, blurred bilateral bilateral papillae, retinal vein filling, flaps above the right temporal hemorrhage, other No abnormal cranial nerves, limb muscle strength, muscle tone as usual, moderate tendon reflex, symmetry, no pathological reflex, positive abdominal and cremasteric reflexes, no joint loss