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患者男性,51岁。因头晕1年,右侧肢体偏瘫1周入院。CT及MRI提示“右额颞胶质瘤”(6cm×7cm)。于1994年4月12日行肿瘤切除术。术后病理检查证实为星形胶质瘤Ⅲ级。术后第1天患者右上肢出现舞蹈样动作,右上肢肌力较术前减退。Warner征(+),前旋肌征(+)。CT示左侧基底节区有0.7cm×0.5cm低密度灶,TCD示左大脑中动脉痉挛,考虑并发半侧舞蹈病。于尼莫地平及氟哌啶醇治疗,持续服药,3月后症状消失。
Patient male, 51 years old. 1 year due to dizziness, right limb hemiplegia 1 week admission. CT and MRI prompt “right frontal temporal glioma” (6cm × 7cm). On April 12, 1994 tumor resection. Postoperative pathological examination confirmed as grade gliomas. On the first day after operation, the right upper limb appeared dance-like motion, and the right upper limb muscle strength decreased compared with that before operation. Warner sign (+), anterior spinous process sign (+). CT showed that the left basal ganglia 0.7cm × 0.5cm low-density foci, TCD left middle cerebral artery spasm, consider concurrent chorea. In nimodipine and haloperidol treatment, continuous medication, symptoms disappeared after 3 months.