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患儿男,3.5个月。因生后头颅进行性增大3月余于1987年6月30日入院。检查:发育营养一般,神清,头颅明显增大,前额较突出,额、颞部头皮静脉明显怒张,前囟张力略高,叩诊为“破壶”音,双眼落日征(+)。神经系统检查除双眼底视神经原发性萎缩外,余未见异常。头颅X 线平片示颅骨菲薄,颅缝分离,指状压迹增多。头颅CT 扫描,见双侧脑室极度扩大,中线结构稍向右侧移位,左侧脑室三角区有一肿块阴影,增强扫描时更显普。腰穿检查:脑脊液
Children male, 3.5 months. Due to postnatal cranial progressive increase in March more than in June 30, 1987 admission. Examination: development and nutrition in general, Shen Qing, obviously increased head, forehead more prominent, forehead, temporal scalp vein was obviously engorgement, slightly higher anterior fontanelle, percussion for the “broken pot” sound, both eyes sunset sign (+). Nervous system examination in addition to binocular optic nerve atrophy, I no abnormalities. Skull X-ray showed skull meager, cranial suture separation, finger pressure increase. Head CT scan, see the extreme expansion of bilateral ventricles, midline slightly shifted to the right side of the structure, the left ventricle triangular area with a lump shadow, enhanced scanning more common. Waist wear check: cerebrospinal fluid