神經(jīng)外科英語病例(5)(3)
2010-12-29 15:58
閱讀:5318
來源:愛愛醫(yī)U盤
作者:大*勒
責(zé)任編輯:大彌勒
[導(dǎo)讀] 外語是每一位醫(yī)務(wù)人員應(yīng)該掌握的工具。**以來,隨著國際交往的不斷增加,因語言障礙造成的溝通困難日曾突出,掌握外語就顯得尤為重要。要掌握一門外語,唯一的辦法就是多讀、多聽、多說、多寫,捷徑是沒有的。
Case 24 Trigeminal meningioma
三叉神經(jīng)腦膜瘤
A 56-year-old woman presented with a 3-year history of decreased hearing and a 2-month history of unsteady gait and trouble in swallowing. Neurological examination was positive for mildly decreased sensation over the left face, decreased hearing, decreased DC-XI nerve function,and positive cerebellar tests. CT scans showed a 5-cm tumor in the cerebellopontine angle with severe degree of cerebellar-brainstem edema. At surgery, by suboc-cipital cramectomy, a tumor originating from the posterior fossa opening of MeckeFs cave, displacing the nerve VH complex orsally and the cranial nerves DC-XI caudally was completely re-°ved. Nerve V was invaded by tumor and had to be sacrificed. Du to difficulties in waking up from the anesthesia a CT scan was obtained, which showed a cerebellar blood clot in the area of preoperative swelling, compressing the IV ventricle with hydrocephalus. The hematoma was removed, and the patient was discharged 3 months after the operation.