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患者男,54岁,左侧肢体麻木无力2个月。以“颅内占位病变”入院,检查。双视乳头中度水肿,视网膜静脉充盈、A/V=1/3,左上下肢肌力Ⅳ级,左侧肢体痛温觉减退。头颅CT平扫:右颞顶大片低密度影,内有三处等密度弧形影,有占位表现。增强:右颞顶皮质下多发环形增强病变。临床诊断:脑转移癌。术中见右顶上小叶,顶下小叶及中央后回皮质下外周灰白色、中间鱼肉样实质性肿瘤组织,分别为2.5×2.5×2.0cm~3、1.5×1.5×1.0cm~2及1.5×1.0×1.0×1.0cm~3,血供较丰富、与周围脑
Male patient, 54 years old, left limb numbness weakness 2 months. To “intracranial space lesions” admission, check. Binocular nipple edema, retinal vein filling, A / V = 1/3, upper left and right lower extremity muscle strength Ⅳ, pain relief of left limb pain. CT scan of the skull: large right-temporal top of the low-density film, there are three arcs of equal density, a placeholder performance. Enhancement: Right temporal superior parietal multiple annular enhancement lesions. Clinical diagnosis: brain metastases. Intraoperative see the right top of the leaflets, the top of the leaflets and the central back under the cortex of the outer gray, middle fish-like solid tumor tissue, respectively 2.5 × 2.5 × 2.0cm ~ 3,1.5 × 1.5 × 1.0cm ~ 2 and 1.5 × 1.0 × 1.0 × 1.0cm ~ 3, the blood supply is more abundant, with the surrounding brain