患者 男,38岁。因全身皮肤散发性肿块10余年,头痛、喷射状呕吐40天,左侧肢体无力20天,1985年2月2日入院。入院前脑CT扫描示右额胶质瘤。皮肤肿块活检为神经纤维瘤。无家族史。体检:神清,颈软,眼底正常,左上下肢肌力4级,未引出病理反射。入院后5小时病人突然昏迷,瞳孔右>左,P64次,诊断为右额叶脑瘤卒中、脑疝。立即行右额开颅,肿瘤全切除及右颞肌下减压术,肿 Male patient, 38 years old. Due to systemic skin sparing mass more than 10 years, headache, jet-like vomiting 40 days, left limb weakness 20 days, February 2, 1985 admission. Frontal brain CT scan showed right frontal glioma. Skin mass biopsy for neurofibroma. No family history. Physical examination: Shen Qing, neck soft, normal fundus, left upper limb muscle strength 4, did not lead to pathological reflex. 5 hours after admission, the patient suddenly coma, pupil right> left, P64 times, diagnosed as right frontal lobe brain tumor, cerebral hernia. Immediate right craniotomy, total resection of the tumor and right temporal muscle decompression surgery, swollen