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目的 :通过对头痛脑神经病损者临床分析 ,总结鼻咽癌诊断的经验。方法 :分析 4 7例表现为头痛脑神经症状的鼻咽癌患者的临床及CT检查特点。结果 :4 7例鼻咽癌患者头痛 10 0 % ,脑神经损害占 70 .2 1% ,有的病例同时伴有多条脑神经的损害。鼻咽部CT检查具有特征性改变。结论 :不明原因的顽固性头痛 ,或头痛伴有脑神经症状的患者 ,应考虑鼻咽癌的可能。应常规行鼻咽部的检查。
Objective: To summarize the experience of diagnosis of nasopharyngeal carcinoma through clinical analysis of headache-induced neuropathy. Methods: The clinical features and CT findings of 47 patients with nasopharyngeal carcinoma presenting with craniocerebral neuropathy were analyzed. Results: Forty-seven patients with nasopharyngeal carcinoma had headache of 10% and 70.21% of the patients with cranial nerve injury. In some cases, they also suffered from multiple cranial nerves. Nasopharyngeal CT examination has a characteristic change. Conclusion: Patients with unexplained intractable headache or headache associated with neurological symptoms should consider the possibility of NPC. Nasopharyngeal routine examination should be routine.