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颅内转移瘤近年有的报告高达30％,而肺癌颅内转移的占1/3～1/2。老年人肺癌颅内转移临床表现常不典型,易于误诊。现将我院1986～1991年收治的12例报告如下: 1 临床资料男8例,女4例,年龄,60～71岁,平均65岁。有吸烟史8例,既往有慢性支气管炎史1例。首发症状,以脑梗塞形式发病7例,头痛呕吐2例,癫痫样抽搐1例,以呼吸系统为首发症状者2例。眼底检查:双侧视乳头水肿2例,静脉增粗4例。
Intracranial metastases in recent years, some reports up to 30%, while intracranial lung cancer accounted for 1/3 ~ 1/2. Clinical manifestations of intracranial lung cancer in the elderly are often atypical and easily misdiagnosed. Now in our hospital from 1986 to 1991 12 cases were reported as follows: 1 Clinical data of 8 males and 4 females, aged 60 to 71 years, mean 65 years. There are 8 cases of smoking history, history of chronic bronchitis in 1 case. The first symptom onset in the form of cerebral infarction in 7 cases, 2 cases of headache and vomiting, epileptic convulsions in 1 case, the respiratory system as the first symptom in 2 cases. Fundus examination: bilateral papilledema in 2 cases, 4 cases of venous thickening.