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患者女,56岁。于半年前出现左侧颞枕部疼痛,偶感头晕、恶心,曾在外院以“神经性头痛”治疗,效果不明显,近日疼痛加重来院就诊。体检:神清语利,双侧瞳孔3.0 mm等大等圆、对光反射灵敏,四肢肌力肌张力正常,生理反射存在,锥体束征(-)。MRI示:左中颅窝底外侧见一以左颞骨鳞部、岩部为基底向颅内生长的长T1、短T2信号团块影,大小约4.7 cm×5.2 cm×5.3 cm,边界光滑,病变中央区域见少许条状及小片状短T1、等T2信号影,左颞叶受压,但无明显水肿,左侧颞
Female patient, 56 years old. Appear six months ago the left temporal occipital pain, dizziness, nausea, I was outside the hospital to “neurological headache ” treatment, the effect is not obvious, the recent pain to the hospital. Physical examination: Shen Qing language Lee, bilateral pupil 3.0 mm and other large round, sensitive to light reflection, muscle tone muscle strength of the normal limbs, the presence of physiological reflex, cone sign (-). MRI showed that the left middle cranial fossa seen in the bottom of a left temporal bone squamous, the Ministry of rock growth as the base of the long T1, short T2 signal mass shadow, size of about 4.7 cm × 5.2 cm × 5.3 cm, the border is smooth, lesions The central region to see a little strip and small pieces of short T1, T2 signal, left temporal lobe compression, but no significant edema, the left temporal