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患者,男,11岁,因头痛头晕9月、左侧肢体瘫痪伴嗜睡、呕吐、消瘦5月而于1989年8月1日入院。查体:神志朦胧,营养不良。左眼球向内上斜视,双眼球水平震颤,瞳孔等大等圆,对光反射存在,角膜反射迟钝,双眼底视神经乳头边界清楚。左鼻唇沟变浅,颈强直。心肺正常,肝脾不大。左上下肢肌力Ⅰ～Ⅱ级,轻度萎缩,痛觉迟钝,右上下肢肌力Ⅱ～Ⅲ级,肌张力偏低,左巴彬氏征阳性。胸透心肺未见异常。脑血管造影及脑室造影提
The patient, male, aged 11, was hospitalized on August 1, 1989 because of a headache and dizziness in September. His left limb was paralyzed with lethargy, vomiting and weight loss in May. Physical examination: Obscure, malnutrition. The left eye inward strabismus, horizontal eye tremor, pupil and other large circle, the presence of light reflex, corneal reflex slow, clear bottom of the binocular optic nipple. Left nasolabial fissure, neck stiffness. Cardiopulmonary normal liver and spleen is not. Left upper limb muscle strength Ⅰ ~ Ⅱ level, mild atrophy, painlessness, right upper extremity muscle strength Ⅱ ~ Ⅲ level, low muscle tone, Zabin positive sign. Thoracic heart and lung no abnormalities. Cerebral angiography and ventriculography