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患者女性,13岁。7天前无明显诱因出现右侧面部麻木,同时伴有头痛,以右侧颞部为重,呈间断性胀痛。查体一般情况及神经系统检查未见明显异常。头颅CT、磁共振及增强检查提示右侧颅凹占位,脑膜瘤可能性大(图1)。术中可见右侧颞鳞被肿瘤侵蚀穿透,并侵及右侧颞肌。沿肿瘤边界剪开硬脑膜,向中颅凹底探查,见右侧中颅凹底骨质破坏明显,与颅底骨质关系密切。肿瘤呈紫红色,质中等,与正常脑组织界限明显。
Patient female, 13 years old. 7 days ago no obvious incentive to appear on the right side of the numbness, accompanied by headache, to the right temporal as heavy, intermittent pain. Physical examination and neurological examination showed no obvious abnormalities. Skull CT, MRI and enhanced examination suggest that the right cranial recess, meningioma is more likely (Figure 1). The right temporal squamous cell carcinoma can be seen through the erosion of the tumor, and invasion of the right temporalis muscle. Cut the dura along the border of the tumor and probe into the medial cranial dimple, see the obvious destruction of the bone in the medial cranial base and the close relationship with the skull base. The tumor was purple, medium quality, obvious boundaries with normal brain tissue.