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患者男性,17岁。因间断发热、阵发性头痛加重就诊。查体:一般情况良好,左颞部头皮局限性轻压痛,全身其他检查无异常。HIV(-)。头颅CT示左侧颞底部不规则低混杂异常密度影,左右径2.9 cm,前后径3.8 cm;左侧脑室轻度受压,中线结构右偏,脑膜增厚,相邻颅骨骨质破坏。诊断:左颞部颅内占位性病变。术中见病灶位于左颞叶,呈灰白色,鱼肉样,边界不清,侵及软脑膜及颅骨内表面。
Patient male, 17 years old. Due to intermittent fever, paroxysmal headache increased treatment. Physical examination: the general situation is good, left temporal scalp limitations tender tenderness, the other body was normal. HIV (-). Head CT scan showed abnormal low mixed anomalous density of the left temporal bottom. The left and right diameters were 2.9 cm and the anteroposterior diameter was 3.8 cm. The left ventricles were mildly compressed, the right midline structures were right-sided, the meninges were thickened and the adjacent skull was destroyed. Diagnosis: left temporal temporal intracranial space-occupying lesions. See intraoperative lesions located in the left temporal lobe, was gray, fish-like, the border is unclear, invasion of the pia mater and the skull inner surface.