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患者,女,25岁,农民。因眩晕和右耳听力下降2个月、右侧面部麻木和走路不稳1个月,于1985年8月13日入院。发病以来,无发热、咳嗽咯血,自幼生活于江苏省江阴县农村,偶吃生螃蟹。体检:神志清,颈天抵抗,双眼球向左水平快速震颤,右角膜反射消失,右面部触痛觉减退。闭目难立征倒向右侧,无病理反射。胸部摄片无异常,脑脊液压力50mmH_2O,红细胞06/mm~3,白细胞0/mm~3,蛋白、糖、氯化物正常。头颅CT检查:右桥小脑角有2×3cm密度不均阴影,并见一直径0.8cm增强病灶,第4脑室左移约0.5cm。进行右桥小脑角占位病灶摘除木。病理检查为寄生虫性肉芽肿,虫体结构
Patient, female, 25 years old, farmer. Due to dizziness and right ear hearing decreased 2 months, the right side of the numbness and walking instability for 1 month, on August 13, 1985 admitted. Since the onset, no fever, cough and hemoptysis, an early age living in Jiangyin County, Jiangsu Province, rural areas, even eating raw crabs. Physical examination: Consciousness, cervical neck resistance, rapid tremor of both eyes toward the left level, right corneal reflex disappeared, the right facial tenderness decreased. Liulv eyesight difficult to fall to the right, no pathological reflex. Thorax no abnormalities, cerebrospinal fluid pressure 50mmH2O, red blood cells 06 / mm ~ 3, white blood cells 0 / mm ~ 3, protein, sugar, chloride normal. Head CT examination: Right cerebellopontine angle 2 × 3cm uneven density shadow, and see a 0.8cm diameter lesions, the left ventricular 4 about 0.5cm. Right cerebellopontine angle lesion removal wood. Pathological examination for parasite granuloma, body structure