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患者男,8岁。因反复癫痫发作伴头痛、呕吐8月于1991年5月入院。检查:左侧鼻唇沟浅,左侧握力Ⅳ级。脑CT增强扫描见右颞顶部有一个3×3.3×4(cm~3)圆形低密度影(CT值为15～21Hu),未见明显增强囊壁,病灶周围有大片水肿区,右侧脑室受压,中线结构向左移位。临床拟诊为“脑胶质瘤,脑脓肿?”。开颅探查发现脑压高,脑沟变浅,脑回变平,右颞叶皮层静脉粗大,颞后可见局限性浅黄色铁锈斑区。于颞中回穿刺进入4cm抽出浅黄色液体30ml,切开皮层及白质可见畸形血管团,供血动脉来源于
Patient male, 8 years old. Due to recurrent seizures with headache, vomiting in August 1991 was admitted in May. Check: the left nasolabial fold shallow, left grip Ⅳ. The brain CT enhanced scan showed a 3 × 3.3 × 4 (cm ~ 3) circular low density (CT value of 15 ~ 21Hu) at the top of right temporal crest. There was no obvious enhancement of the cyst wall, large edema area around the lesion, Ventricles pressure, the median line shift to the left. Clinical diagnosis as “glioma, brain abscess?” Exploratory craniotomy found that high intracranial pressure, sulci shallow, flat back to the brain, right temporal cortex thick veins, visible after the temporal limitations of the light yellow rust spot. In the temporal back puncture into the 4cm out of a light yellow liquid 30ml, cut the cortex and white matter can be seen in abnormal vascular groups, blood supply artery from