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女性,34岁,河南辉县人。因头胀、两下肢麻木无力一年,视物模糊半年在当地按颅内压增高治疗无效,于1983年4月14日入院。过去无头外伤、晕厥、中耳炎、副鼻窦炎及甲状腺手术史。体检:体温、脉搏、血压均正常,神清合作,颈软,甲状腺不肿大。心肺阴性,肝脾未摸及。神经系检查:智能好,双眼底乳头边缘模糊(3D),静脉曲张,视盘附近有少量渗出物及出血,视力右0.9,左0.8,双眼向心性视野缩小。Chvostek及Trousseau征阳性,无其他神经系定位体征。
Female, 34 years old, Huixian County, Henan Province. Due to head bulging and numbness of the lower extremities for one year, the object was blurred for half a year and was treated as an increase in intracranial pressure in the local area. He was admitted to hospital on April 14, 1983. There were no head injuries, syncope, otitis media, paranasal sinusitis, and history of thyroid surgery. Physical examination: body temperature, pulse, and blood pressure are normal, Shen Qing cooperation, neck softness, thyroid enlargement. Cardiopulmonary negative, liver and spleen did not touch. Neurological examination: good intelligence, blurred edges (3D), varicose veins, small amounts of exudate and hemorrhage near the optic disc, right vision 0.9, left 0.8, narrowed concentric field of vision. The Chvostek and Trousseau signs were positive and there were no other neurological localized signs.