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患儿男性,12岁。近1个月反复口角抽搐、凝视伴间歇性头痛,拟诊为癫入院。6年前因手外伤曾引发一次口角抽动、口吐白沫、意识丧失约1 min,后未曾发作。CT示左颞叶血管性病变,动静脉畸形可能大(图1)。MRI检查T1W、T2W平扫+T1W增强示左颞后偏下良性占位,海绵状血管瘤可能性大,动静脉畸形不能除外。术中见局部脑膜增厚、脑组织较硬,血管丰富。
Children with children, 12 years old. Twitch repeatedly in the past month, staring with intermittent headache, admitted to hospital for epilepsy. 6 years ago caused by a hand traumatic orotracheal twitch, foaming at the mouth, loss of consciousness about 1 min, after no attack. CT showed left temporal lobe vascular disease, arteriovenous malformations may be large (Figure 1). MRI examination of T1W, T2W scan + T1W enhancement showed benign posterior temporal lower space occupancy, cavernous hemangioma possibility, arteriovenous malformations can not be excluded. See intraoperative meningeal thickening, brain tissue harder, rich in blood vessels.