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夏某,男,17岁。因头痛伴左眼球外突3个月入院。查体:左眼球明显外突,双眼视力均为1.5,双眼各向运动正常,无复视。头颅X线正侧位片示左眼眶后外侧部一约3.0cm×2.5cm大小骨质破坏。蝶骨小翼向内上推移,骨质破坏边缘硬化。眼眶未见明显增大,中颅凹未见明显骨质破坏,未见颅内压增高征象。CT增强前检查:CT值48Hu左眼眶后外侧部中颅四前部可见不规则形略高密度病灶,边界较清。局部明显骨质破坏。左眼球向内侧突出。增强后:病灶明显强化,CT值106Hu,边界清,其中眶内部分呈梭形,眶外部分呈卵圆形,大
Xia Mou, male, 17 years old. Due to headache with left eye protrusion 3 months admitted. Physical examination: the left eye was significantly protruded, binocular vision were 1.5, eyes moving normal, no diplopia. Skull X-ray is a lateral display of the left lateral orbital about 3.0cm × 2.5cm size bone destruction. Sphenoid winglets pushed inward, bone destruction edge hardening. No significant increase in the orbit, there was no significant osteotomy in the cranial cavity, no signs of increased intracranial pressure. CT enhanced pre-examination: CT value 48Hu left orbital lateral posterolateral craniofacial four visible irregular shaped slightly high-density lesions, border more clear. Local obvious bone destruction. Left eye protruding to the inside. Enhanced: lesions were significantly enhanced CT value 106Hu, clear boundary, which was part of the orbital fusiform, orbital part was oval, large