Metastatic brain tumors misdiagnosed cerebral hemorrhage 1 case of cervical spondylosis.docVIP

 PAGE \* MERGEFORMAT 4 Metastatic brain tumors misdiagnosed cerebral hemorrhage 1 case of cervical spondylosis [Keywords:] brain metastases, brain hemorrhage, cervical spondylosis 1 Case information Patients, male, 61 years old. Because of headache, dizziness, numbness of the right limbs with 1 month hospitalization. Nearly a month with no clear trigger severe headache, flu like burst, and pain to the left, with visual material Rotate , nausea, vomiting, vomit, the stomach contents, non-jet-like. no diplopia, no limb movement disorder, dizziness, increased activity in head and neck, the right limb numbness, pain. was outside the hospital, the degree of headache The reduced, sustained pain, tolerable, but still dizzy activities can not be freely transferred into our hospital. A few years ago had a history of head injury, was not unconscious, vomiting. Physical examination: BP150/84mmHg clear consciousness, left pupil diameter of 2.5mm on the right side of the pupil diameter 1.5mm, light reflex sensitivity, binocular horizontal nystagmus (-, neck resistance, limb muscle strength, muscle tone normal, refer to nose test was negative, with the knee-shin test was negative, eyes closed standing sign (+, pathological sign was not elicited. auxiliary examination: blood: WBC 4.1 109 / L, N 50.2%, RBC 3.52 1012 / L, PLT 46 109 / L. chest X-ray report: transparency decreased right upper lung. skull CT: cerebral hemorrhage in the left occipital lobe. cervical spine films: C5 ~ 6 vertebral bone sharpened trailing edge. Admission diagnosis: (1 cerebral hemorrhage, (2 cervical disease. Treatment after: to reduce intracranial pressure, nutrition, symptomatic treatment of brain cells. The first 2 days in patients with head pain is more obvious appeal, head and neck activity, dizziness, vomiting, worsening cerebral hemorrhage considered course of the disease has more than 20 days have passed the peak of brain edema, the use of low intracranial pressure caused by de