great on the left occipital temporal bone fibrous dysplasia with inflammatory granuloma one case（伟大的左侧枕叶和炎性肉芽肿1例颞骨纤维发育不良）.docVIP

Great on the left occipital temporal bone fibrous dysplasia with inflammatory granuloma one case [Key Words] the left occipital temporal bone fibrous dysplasia inflammatory granuloma Clinical data Female patients, aged 44, 20 years ago, conscious of the left occipital temporal to increase mass, was no obvious discomfort, not seriously, and further examination, gradually increasing mass in 20 years, six months ago were found in the left ear started out clear channel liquid, after pus-like liquid, with odor, 1 month ago patients have fever, up to 39 degrees, outside the hospital with no improvement in anti-infective therapy, began six weeks ago left occipital pain, limb weakness and no course of paresthesia, no sudden confusion and twitching limbs, no visual impairment. admission capacity in patients with acute disease, sleep, poor appetite, urine normal, no significant changes in body weight. Auxiliary investigation: CT manifestations [Figure 1-4]: the left occipital, temporal bone of the expansive growth, cortical bone sclerosis, mastoid air gas and fluid accumulation can be seen in room movies, cerebellum and brain stem compression, the left CPA to expand, the brain parenchyma were normal. fourth ventricle pressure become flat. no brain split and widened sulci. CT diagnosis: left occipital, temporal bone mass, consider bone tumors. MRI performance [Figure 5 9]: the left occipital, temporal bone to normal bone signal disappears for large mixed signal mass of block replacement, T1WI low-mixed signal-based, within the visible irregular lower signal, T2WI and FLAIR signal showed a mixed signal enhancement After a substantial part of the surrounding irregular mass-like enhancement lace, the central area shows no enhancement in low signal. mass oppression of the left cerebellar hemisphere and the bridge arm, the brain stem and fourth ventricle compression deformation, no abnormal signals in brain parenchyma. supratentorial ventricular light degree of expansion. n