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1典型比例患者,女,47岁,因“头晕、头痛1月余,发热20余天”入院。入院查体:精神可,意识清楚,构音清楚,对答切题,颈软,Kernig征、Brudzinski征阴性,双上肢肌力5级,双下肢肌力4级,四肢肌张力正常,双上肢腱反射对称存在,双下肢腱反射减弱,双侧病理征阳性。患者入院前多次查血常规未见异常,头颅磁共振成像(MRI)提示松果体区结节占位,四脑室、脑干脑膜及所扫颈髓中央管、颈髓局部
A typical proportion of patients, female, 47 years old, because of “dizziness, headache more than 1 month, fever more than 20 days ” admission. Admission examination: spirit can, consciousness clear, articulation clear answer questions, neck soft, Kernig sign, Brudzinski sign negative, upper extremity muscle strength 5, lower extremity muscle strength 4, limb muscle tone normal, upper limb tendon reflex Symmetry exists, both lower extremity tendon reflexes, bilateral pathology positive. There were no abnormalities in blood routine examination before admission. Head magnetic resonance imaging (MRI) showed that the nodules were located in the pineal region, the fourth ventricle, the middle cerebral ventricle and the central canal of cervical spinal cord,