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鉴别诊断Pruitt 医生:本例病期7个月,临床显示有颅内压增高。初期无局灶征。患者无全身性病征,体重减轻9kg,或与情感障碍有关。病初时的晕厥及短暂性定向障碍发作,可能系癫痫发作或颅内压突然波动所致。发病2个月后,有4个月的缓解,此时神经系统检查及 CT 扫描均阴性。未知 CT 扫描时曾否应用对比剂。可以设想,颅内病变在进展,因发病6个月时,头痛转剧,CT 扫描显示颅内有病灶。外院脑组
Differential diagnosis Dr. Pruitt: This case, which has a 7-month disease duration, shows clinically elevated intracranial pressure. There was no local sign at the beginning. The patient had no systemic symptoms, weight loss was 9 kg, or was related to affective disorders. Early syncope and transient disorientation may be due to seizures or sudden fluctuations in intracranial pressure. Two months after the onset of illness, there was a 4-month remission when both the neurological and CT scans were negative. It was unknown whether the contrast agent was applied during the CT scan. It can be assumed that the intracranial lesions are progressing. Due to the onset of the disease at 6 months, headaches have turned and CT scans have shown lesions in the brain. Brain Brain Group