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脑瘤典型的表现有头痛,癫痫,颅内压增高和局灶性神经机能障碍。一个较少见的和通常被忽略的表现是急性无菌性脑膜炎。作者报告一例由于颞叶多形性胶质母细胞瘤引起急性无菌性脑膜炎导致诊断混淆。患者男性,55岁,右利手。曾于1974年7月,8月,9月先后三次入院。前两次入院主因突然发作的语言障碍和始于右足的局限性癫痫。检查神清,神经系统正常。脑脊液压力、成分正常。颅骨平片,脑扫描,左颈内动脉造影均正常。脑电图检查无特殊。患者于9月10日第三次入院。因语言障碍复发,颈强直和寒战。检查:体温39.6℃。提腿试验(Ker-nig征)和抬颈试验(Brudzinski征)阳性。无半侧运
Brain tumors typically exhibit headaches, epilepsy, increased intracranial pressure, and focal neurological deficits. A less common and often overlooked manifestation is acute aseptic meningitis. The authors report one case of acute aseptic meningitis caused by temporal lobe glioblastoma multiforme. The patient is a 55-year-old male with right-handedness. He was admitted to hospital on three occasions in July, August and September 1974. The first two admissions were due to a sudden onset of language disorder and localized epilepsy that began on the right foot. Check Shen Qing, the nervous system is normal. Cerebrospinal fluid pressure and composition are normal. Skull plain film, brain scan, left internal carotid artery angiography were normal. EEG examination is not special. The patient was admitted to hospital for the third time on September 10. Due to recurrence of language difficulties, neck stiffness and chills. Check: Body temperature 39.6°C. Leg test (Ker-nig sign) and necking test (Brudzinski sign) were positive. No semi-lateral operation