双额叶原发性恶性淋巴瘤临床上较为少见,现将我院收治1例报告如下。 南某,男,20岁,牧民。1984年11月初突然出现呕吐,呈频繁喷射状,晨起为重,无头痛和肢体功能障碍等,11月30日入我科。缘于1983年6月落马摔倒,当即昏迷(时间不详),醒后头痛、头晕、呕吐,经治疗后好转。神经系统检查:精神萎靡、反应迟钝、记忆及计算力差,双侧视神经乳头水肿,右眼外展功能差,双侧瞳孔直径4mm,对光反应存在,左侧肢体偏瘫,肌张力低,腱反射(+),巴淋斯基氏征双侧(+),颈有抗力,克尼格氏征(+)。头颅超声波检查:中线左移0.25cm。脑电图:广泛中度异常,右侧慢波。头颅X线平片:颅缝略增宽,指压痕增多。右颈总动脉造影:正位片显示大脑前动脉向对侧呈弧形移位(中部移3cm),大脑中动脉向外弧形移位,水平段下移。侧位片显示虹吸部变扁,额顶外动脉变直,大脑前、中动脑下移。腰椎穿剌脑脊液蛋白10.5mg/dl,糖73mg/dl,氯化物550mg/dl。B型超声:双额有密集回声团块显示左侧脑室大于右侧。治疗经过:入院当日考 Double-lobe primary malignant lymphoma clinically rare, now admitted to our hospital in 1 case reported as follows. South a, male, 20 years old, herdsman. November 1984 early vomiting, was frequently sprayed, morning heavy, no headache and limb dysfunction, etc., November 30 into my department. Due to fall in June 1983 fell immediately coma (time unknown), wake up headache, dizziness, vomiting, after treatment improved. Nervous system examination: apathetic, unresponsive, poor memory and calculation, bilateral optic papilla edema, poor right eye abduction, bilateral pupil diameter 4mm, presence of light response, left limb hemiparesis, low muscle tension, tendon Reflex (+), Barkski’s sign bilateral (+), neck resistance, Konegard’s sign (+). Head ultrasound examination: the left shift of 0.25cm. EEG: a wide range of moderate abnormalities, the right side of the slow wave. Skull X-ray: cranial suture slightly broaden, refers to the increase of indentation. Right common carotid artery angiography: anteroposterior film showed anterior cerebral artery to the opposite arc-shaped shift (central shift 3cm), the cerebral artery outward arc shift, the level down. Lateral films show siphon become flat, frontal top external artery straightened, the brain before, the middle cerebral artery shift. Lumbar puncture cerebrospinal fluid protein 10.5mg / dl, sugar 73mg / dl, chloride 550mg / dl. B-mode ultrasound: double amount of dense echo mass shows the left ventricle greater than the right side. After treatment: the day of admission examination