患男,52岁,主诉头痛10月,以额部为著,呈持续性钝痛,伴双目失明,于1992年2月10日以“鞍区肿瘤”收住院。查体:神志清,双目失明,双侧瞳孔0.4cm,对光反射消失,眼底双视乳头苍白,边界清。四肢感觉、运动如常。头颅CT示蝶鞍扩大,前后床突破坏吸收,鞍底向蝶窦膨出,鞍区有点片状钙化,鞍内混有高密肿块灶,疑为脊索瘤。1992年2月24日气管插管静脉麻醉下行右额开颅,术中见视神经苍白,变细扁,视交叉区隆起,有灰白色肿物,边界清,不活动。视交叉前方切开,流出米汤样脓液10ml,腔内有暗红色肉芽样病理 Male, 52 years old, complained of headache in October, with the forehead as a persistent dull pain, with binocular blindness, on February 10, 1992 to “saddle area tumor” admitted to hospital. Examination: Consciousness, blindness, bilateral pupil 0.4cm, the light reflection disappeared, the fundus binocular nipple pale, border clearance. Feeling limbs, exercise as usual. Head CT showed sella enlargement, before and after bed breakthrough bad absorption, sella at the end to the sphenoid bulging, saddle a little piece of calcification, saddle mixed with high-density lumps, suspected chordoma. February 24, 1992 tracheal intubation intravenous anesthesia on the right craniotomy, see the optic nerve in surgery pale, thin flat, optic chiasm area uplift, gray-white mass, border clear, inactive. As the front of the cross incision, out of the rice soup-like pus 10ml, cavity dark red granulation-like pathology