1病历资料女,36岁;因反复意识丧失伴四肢抽搐近4年,双眼视力进行性下降近2个月入院。体格检查:面部见1￣10 mm2红色半透明蜡样丘疹,密集或散在分布(图1);智力低下,情感淡漠;左眼失明,右眼有光感,左眼外展受限,右眼眼球活动正常;双侧视乳头水肿、渗出明显,左侧眼底颞下象限可见 1 medical records female, 36 years old; due to repeated loss of consciousness with limbs and jaunts for nearly 4 years, progressive binocular vision decreased nearly 2 months admission. Physical examination: the face see 1 ~ 10 mm2 red translucent wax-like papules, dense or scattered (Figure 1); mental retardation, emotional indifference; left eye blindness, right eye light perception, restricted left eye abduction, right eye Eye activity is normal; bilateral papilla edema, exudate significantly, the left fundus infratemporal quadrant can be seen