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袁××,男,72岁,于93年8月3日入院。入院前1周无明显诱因自觉右侧面部持续疼痛,呈阵发性加剧,并放射至右颞部,且进行性加重。伴有右侧口周围麻木。入院前5年患有前列腺癌,进行3年的放、化疗后行前列腺B超及CT复查均未发现肿物。入院时查体:张口下颌不偏,右侧三叉神经第一、二支分布区痛觉减退,右侧角膜直接反射迟钝。其他查体未见异常。前列腺B超未见异常回声。行中颅凹MRI:右侧翼内窝转移
Yuan × ×, male, 72 years old, was admitted on August 3, 1993. One week before admission, there was no obvious incentive to consciously continue the right facial pain, paroxysmal increase, and radiation to the right temporal, and progressive increase. Accompanied by numbness around the right side of the mouth. Prostate cancer was found in the first 5 years before admission. After 3 years of radiotherapy and chemotherapy, there was no tumor found in the B ultrasound and CT scan. Admission examination: Zhang mouth jaw not partial, the first trigeminal nerve on the right, the two distribution of pain relief, the right corneal direct reflex slow. Other physical examination without exception. B ultrasound showed no abnormal echo. In-line cranio-concave MRI: Right wing fossa metastasis