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患者女性,63岁。突发口齿不清、流涎1周。查体:右侧鼻唇沟变浅,伸舌右偏。入院第2天出现右侧面部间歇性抽搐。MRI示左侧颞叶异常信号灶,增强后见不均质强化,边缘见环状强化带(图1),左侧基底节区见多发点片状异常信号灶。考虑:①左颞叶占位、血管炎或不典型病变;②左侧
Patient female, 63 years old. Burst of teeth, drooling 1 week. Examination: shallow nasolabial fold on the right, stretch tongue right side. On the second day of admission, the right side of the face appeared intermittent convulsions. MRI showed the left temporal lobe abnormal signal enhancement, see the heterogeneous enhancement, the edge of the annular enhancement zone (Figure 1), the left basal ganglia seen pleiotropic patchy abnormal signal lesions. Consider: ① left temporal lobe occupying, vasculitis or atypical lesions; ② left