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鞍区除常见有垂体脉瘤、鞍结节脑膜瘤和颅咽管瘤外,尚有少数起源于其他结构的肿瘤在诊断和鉴别诊断时应予重视,现报告如下。 一、视神经胶质瘤:例1,女,36岁。因右眼视力进行性减退3年伴有双颞侧头痛于1975年10月26日入院。曾按球后视神经炎治疗无效。体检:右嗅觉丧失,视力:右眼前60cm指数,左眼1.5,双颞侧偏盲,双侧视神经乳头苍白。头颅平片:蝶鞍无扩大,后床突骨质正常。颈动脉脑血管造影:右侧颈内动脉床突上段拉直,大脑前动脉不显影,
In addition to the common saddle pituitary aneurysm, saddle nodular meningioma and craniopharyngioma, there are a few tumors originated in other structures in the diagnosis and differential diagnosis should be valued, are as follows. First, optic neuroglioma: Example 1, female, 36 years old. Progressive vision loss due to right eye 3 years with bilateral temporal headache was admitted on October 26, 1975. Have been treated by retrobulbar optic neuritis invalid. Physical examination: right olfactory loss, visual acuity: 60cm index before the right eye, left eye 1.5, bilateral temporal hemianopsia, bilateral optic disc pale. Flat head skull: no expansion of the sella, after bed suddenly bone quality is normal. Carotid artery angiography: upper right internal carotid artery ascites straightening, anterior cerebral artery was not developed,