病例报告及讨論.PDFVIP

病例報告及討論 ♦Sex: 女 Age : 48.08 Chief Complain ♦Suffered from headache and right side hearing impaired for 1 years Present Illness ♦ This 48 years old female suffered from headache and right side hearing impaired for 1year.But she didn`t pay much attention on it . In these months, right eye blurred vision was also noted .So , she visited 花蓮慈濟hospital and brain MRI was done.It revealed a brain tumor ,R/O acoustic neuroma and compressive to optic nerve. Operation had suggested .But her family wanted more evaluation .So they came to our NS OPD. ♦ At our OPD, balance disturbance was noted .No dizziness,nausea was found.Headache,right side hearing impaired and right side blurred vision were noted.Under the impression of R/O acoustic neuroma ,she was admitted to our ward for further study. History ♦Family history : not contributory ♦Personal history : smoking ( - ) alcohol ( - ) ♦Past history : Asthma for 5-6 with regular control L – spine HIVD S/P OP 7 years ago . Physical examination ♦No positive finding ♦Neurological examination hearing power : impaired on right Romberg test : balance disturbance Gait :balance disturbance Labotory Data ♦91/02/02 11:51 WBC: 12.52 HGB: 13.3 PLT :353 NEUT :56.2 Glucose :79 BUN: 12 Creatinine :0.7 GOT/GPT : 15 /17 Na + :142.0 K+ 3.80 T1 weighted image A well-defined low ♦. signal intensity mass at the right CP angle T2 weighted image The lesion brights ♦.