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例1,男,33岁,近1个月来自觉头晕、恶心,于1984年3月15日入院。3个月前右侧头部曾被石块砸伤,无昏迷史。检查:神清,颈软。双眼底视神经乳头边缘模糊充血,A:V=1:3。脑电图检查:右侧偏胜。右侧颈动脉造影见大脑前动脉明显肉对侧弧形移动,大脑中动脉主干,侧裂动脉明显向上内方挤移,颞后动脉分支呈垂柳状引向下方。3月19日患者昏迷,右瞳孔4mm,左瞳孔2.5mm,在全麻下行右颞部骨辦开颅术。术中见右颞部切口下方蝶骨嵴外侧1/3处有约为5×4×3cm椭圆形肿块、质地偏硬,除部分与颅底硬脑膜粘连外,边界清楚,整个摘除肿块,肿块内部有1×2cm腔隙,含黄色粘调液体。病理报告:蝶骨嵴外1/3炎性肉芽肿。
Example 1, male, 33 years old, was dizzy and nausea in the past 1 month and admitted to hospital on March 15, 1984. Three months ago, the right head had been bruised by stones and had no history of coma. Check: God clear, soft neck. The eyes of the optic fundus of the two eyes were blurred and congested, and A:V=1:3. EEG examination: The right side wins. In the right carotid artery angiography, the anterior cerebral artery was clearly visible on the contralateral arc of the meat, the trunk of the middle cerebral artery, and the lateral plication arteries were significantly upward and inward. The posterior branch of the posterior tibial artery showed a weeping willow shape leading downward. On March 19, the patient was unconscious, with a right pupil of 4 mm and a left pupil of 2.5 mm. The patient underwent craniotomy of the right temporal bone under general anesthesia. In the operation, the 1/3 of the lateral sphenoid ridge of the sphenoid ridge below the right sacral incision has an elliptic mass of approximately 5×4×3 cm, and the texture is hard. Except for some adhesion to the dura mater at the base of the skull, the boundary is clear and the entire excision of the lumps and lumps is performed. Internal 1 x 2cm cavity, containing yellow viscous liquid. Pathology report: 1/3 of the sphenoid iliac granuloma.