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目的 研究首发神经系统症状的鼻咽癌临床特征。方法 对 2 2例首发神经系统损害的鼻咽癌患者进行临床分析。结果 头痛和颅神经损害是鼻咽癌的最常见症状体征 ,且常是首发症状 ,其中尤以第 、 、 、 、 对颅神经损害占多数。结论 充分认识首发神经系统症状的早期鼻咽癌的临床特征 ,并及时进行鼻咽部的 CT或 MRI扫描 ,反复多次的鼻咽镜检查及活检对早期诊断、减少漏诊和误诊非常重要。
Objective To study the clinical features of nasopharyngeal carcinoma with neurological symptoms. Methods The clinical analysis of 22 patients with nasopharyngeal carcinoma with first-onset nervous system damage was performed. Results Headache and cranial nerve damage is the most common symptoms and signs of nasopharyngeal carcinoma, and is often the first symptom, especially in the first, and, cranial nerve damage accounted for the majority. Conclusions It is very important to fully understand the clinical features of nasopharyngeal carcinoma of first onset neurological symptoms and timely CT or MRI of the nasopharynx. Repeated nasopharyngoscopy and biopsy are very important for early diagnosis and missed diagnosis and misdiagnosis.