中国现代神经疾病杂志 ›› 2012, Vol. 12 ›› Issue (4): 488-490. doi: 10.3969/j.issn.1672-6731.2012.04.024

• 临床病理(例)讨论 • 上一篇    

2 头部CT 高信号影伴双眼视力下降发作性肢体抽搐

李力波,张君怡   

  1. 100730 中国医学科学院北京协和医学院北京协和医院神经科
  • 出版日期:2012-08-16 发布日期:2012-08-23
  • 通讯作者: 李力波(Email:lilibopumc@sina.com)

High-density lesions in cranial CT with vision loss of both sides and paroxysmal convulsion

LI Li-bo, ZHANG Jun-yi   

  1. Department of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
  • Online:2012-08-16 Published:2012-08-23
  • Contact: LI Li-bo (Email: lilibopumc@sina.com)

关键词: 颅内栓塞和血栓形成, 心脏肿瘤, 黏液瘤, 病例报告

Abstract: A 49-year-old man presented with weakness of right side and vision loss of both sides in local hospital. Initial CT of the head showed multiple high-density lesions in occipital -parietal lobe and with diagnosis of cerebral cysticercosis. Two months later, repeated cranial CT showed no significant change of multiple high-density lesions in occipital -parietal lobe, with symptom of vision get worse; and so of three months later and the third cranial CT, until he had seizures. During episodes of convulsion, EEG showed occipital lobe epilepsy. And brain MR revealed several hemorrhage-like lesions in occipital -parietal lobe. After admission, Echocardiaogram showed a mass in left atrial. The mass proved to be a myxoma on surgical resection.

Key words: Intracranial embolism and thrombosis, Heart neoplasms, Myxoma, Case report