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患者,男性,42岁.因右侧肢体肌力减退一年,加重伴左侧面部麻木20天入院.入院时查体:神志清,左侧鼻唇沟变浅,伸舌左偏,右下肢肌力Ⅲ级,右上肢肌力Ⅲ级,右侧肢体肌张力高,腱反射亢进,右侧指鼻试验阴性,轮替试验(+),右侧Babinski(+),Chadock(+),昂白氏征(+).MRI提示:桥脑有2.0cm×2.5cm×2.5cm大小的低密度区,呈现长T_1长T_2信号.注射CDTA后有部分增强.印象:桥脑肿瘤,认为血管网状细胞瘤可能性大.
Patients, male, aged 42 due to a year of weakness in the right limb, aggravated with left side numbness 20 days admitted to hospital admission examination: conscious, left nasolabial fold shallow, extensor left deviation, right lower extremity Muscle strength Ⅲ, right upper limb muscle Ⅲ, right limb hypertonia, tendon hyperreflexia, right nasal test negative, rotation test (+), right Babinski (+), Chadock (+), Ang White flag (+). MRI tips: Pontocerebral has a low density of 2.0cm × 2.5cm × 2.5cm area, showing a long T_1 T_2 signal was partially enhanced after injection of CDTA Impression: Pontine tumor, that vascular network Astrocytoma is highly likely.