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对误诊为“卒中的5例颅内占位性病变进行临床回顾,讨论其经验教训。据国外统计在卒中急诊住院病人中,肿瘤占5％;天津医学院脑系科占5.8％。例一神经胶质瘤囊性变而急性起病;例二神经胶质瘤隐袭起病,早期无颅内压高症状,腰穿和脑血管造影检查也未发现异常,至后期才出现颅內压增高症状,例三脑膜瘤,因癲痫发作后症状加重才受到重视,例四、五为隐源性脑脓肿,脑炎期在在院外按不明发烧用抗菌素治疗,脓肿形成进入潜伏期后
Five cases of misdiagnosed as "stroke of the intracranial space-occupying lesions were reviewed and discussed their experiences and lessons.According to foreign statistics in stroke emergency inpatients, the tumor accounted for 5%; Tianjin Medical College Department of Brain Science accounted for 5.8%. Glioma and acute onset of cystic degeneration; cases of glioma insidious onset, early symptoms of high intracranial pressure, lumbar puncture and cerebral angiography did not find abnormalities, until the latter appeared intracranial pressure Increased symptoms, such as meningioma in three cases, because of aggravating symptoms after seizures before being taken seriously, for example four or five for cryptogenic brain abscess, encephalitic in the hospital according to unknown fever with antibiotics, abscess formation into the incubation period