患者,男性,28岁。入院前3年出现头昏、顶部异物爬行感,半月后双眼眶及前额部疼痛,持续性,且有视物成双感。在外院予血管扩张剂、激素及维生素B族等治疗后,上述症状可改善或缓解,但停药后1～2周症状又复出现,病程呈反复发作趋势。发病以来从无恶心、呕吐;性功能稍减退,但无毛发脱落及外貌改变,亦无多饮、多尿史;无鼻衄或鼻溢液史。门诊检查发现左眼外展露白0.3cm及双眼底视乳头鼻侧边界稍模糊,以慢性颅内压增高、左眼外展麻痹收入神经外科。 Patient, male, 28 years old. 3 years before admission dizziness, the top sense of crawling foreign body, half a month after the eyes and forehead pain, persistence, and as a matter of sense. In the outer court to vasodilators, hormones and vitamin B family and other treatment, the symptoms can be improved or alleviated, but 1 to 2 weeks after withdrawal of symptoms reappeared, the course of the disease was recurrent trend. Since the onset of nausea, vomiting; sexual function slightly diminished, but no hair loss and appearance changes, nor drink more, history of polyuria; no history of epistaxis or nasal discharge. Out-patient examination revealed that the left eye abduction exposed white 0.3cm and binocular bottom nipple nasal border slightly fuzzy, with increased chronic intracranial pressure, left eye outreach paralysis income neurosurgery.