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患者男,34岁,1年前无明显诱因出现头痛、头晕,不伴恶心、呕吐,自服“头痛粉”对症治疗,症状较前缓解不明显。1天前患者头痛、头晕有所加重,伴恶心,呕吐,呕吐物为胃内容物,就诊当地医院,查颅脑CT示:右侧额部占位性病变。为进一步诊治,来本院就诊。影像学检查:头颅CT平扫:右侧额部见团块状等密度影,大小约为47 mm×45 mm×40 mm,边缘见结节钙化灶,肿块边缘见环形水肿带,大脑镰向左移位(图1)。颅脑MR
Patient male, 34 years old, no obvious incentive to have a headache, dizziness, no nausea, vomiting, self-service “headache powder ” symptomatic treatment. 1 day ago, patients with headache, dizziness have increased, with nausea, vomiting, vomit for the stomach contents, visit a local hospital, check craniocerebral CT showed: the right frontal mass lesions. For further diagnosis and treatment, come to our hospital. Radiographic examination: CT scan of skull: right frontal clues to see the block-like isometric density, the size of about 47 mm × 45 mm × 40 mm, see the edge of calcification calcification, the edge of the tumor see ring edema, falx Left shift (Figure 1). Brain MR