患者,女,11岁。因头痛,视力减退1年,加重伴呕吐7天,于1991年3月19日入 院。既往无多饮多尿和发热史。体检:头围明显大于同龄儿童,头皮静脉怒张。发育 (包括性器官)正常,营养中等。无明显突眼,眼球各方向活动自如,视力两侧均0.6,视野呈双颞侧偏盲为主,眼底视乳头为原发性萎缩。CT示鞍上颅咽管瘤并发脑积水。 Patient, female, 11 years old. Due to headache, vision loss for 1 year, increased with vomiting for 7 days, March 19, 1991 admission. No previous history of polyhydramnios and fever. Physical examination: head circumference was significantly larger than children of the same age, scalp vein engorgement. Development (including sexual organs) normal, moderate nutrition. No obvious exophthalmos, eye movement freely in all directions, visual acuity are 0.6 on both sides of the visual field was hemianopia blind mainly retinal papilla primary atrophy. CT showed saddle craniopharyngioma complicated by hydrocephalus.