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病例报告患者,女,40岁,因精神受刺激突然头痛,病程3个月,20天后出现复视,右眼睑下垂,头痛重时伴有呕吐,病后两个月出现右眼视力障碍,逐渐发展至失明,相继出现右颜面蚁走感,右上齿疼痛,于1987年7月4日门诊以右眶尖综合征收住院。查体:神志清楚,语言流利,右眼睑下垂,右瞳孔散大,光反射消失,眼球各方向运动障碍,右眼失明,右三叉神经支配区浅感觉减退,开口时下颌右偏。X光摄影:颅底位、双视神经孔位、克氏位、两眼眶位、筛窦断层、鼻窦正侧位,骨质未见异常;右颈动脉造影除正位像中动脉略抬高外,余无著变.施CT增强扫描证实;右鞍旁后组筛窦肿瘤,侵犯
Case report The patient, female, 40 years old, suffered sudden headache due to mental stimulation. The course of the disease was 3 months. After 20 days, diplopia appeared, and the right eyelid ptosis accompanied by vomiting during heavy headache. Development to blindness, have appeared ants right facial sensation, right upper quadrant pain, July 4, 1987 outpatient clinic with right orbital apex syndrome admitted to hospital. Examination: Consciousness, fluent language, right eyelid ptosis, right pupil dilated, light reflex disappeared, eye movement disorders in all directions, right eye blindness, the right trigeminal nerve area of shallow feeling of diminished, the opening of the mandibular right deviation. X-ray photography: skull base, bipolar nerve hole, Kirschner, orbital, ethmoidal sinus, sinus lateral, bone no abnormalities; right carotid artery angiography in addition to the median as slightly elevated , I remained unchanged.Application of CT enhanced scanning confirmed; right after the next group of ethmoid sinus tumors, violations