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首诊于眼科的颅底脊索瘤一例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Ophthalmology
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.0412-4081.2016.02.011
- Key Word:
- No keyword available
Abstract： 患者男性,63岁.因双眼视物重影6d,于2013年6月27日入院检查.患者2013年6月18日无明显诱因出现双眼视物重影,向左视物重影明显,向右视物重影减轻,起初患者未重视,但1周来症状始终无明显改善前来就诊,门诊拟“左眼外直肌麻痹”收入院.眼部检查:视力右眼0.4(矫正0.6+)、左眼0.5(矫正0.8);双眼:晶状体轻度混浊,余前后节未见明显异常;右眼眼球各方向转动无明显异常,左眼外转明显受限、余方向转动无明显异常.入院后查头颅MRI平扫示斜坡区异常信号灶(图1),MRI增强示斜坡区团片状异常信号,有强化,提示脊索瘤(图2).后患者白行至上海某医院就诊,确诊为“颅底脊索瘤”.患者因个人原因放弃治疗,随后失访.
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