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脊髓肿瘤引起颅压增高临床少见。脊髓髓内肿瘤引起高颅压更为少见。现将我们遇到的1例髓内肿瘤引起高颅压的病例报告如下: 患者:女、21岁。因胸痛二个月,右下肢无力二周入院。二个月前无诱因出现胸背部疼痛,二个月后右下肢麻木,活动失灵,继之左下肢亦无力,入院前四天出现排尿费力,尿潴留。既往有心脏房间隔缺损病史。查体:体温36.9℃;脉搏:80次/分;血压:15/12kPa。心肺(一)。脊柱正常生理弯曲。第6胸椎叩痛(+)。神清语明,眼底:右侧视乳头边界欠清、静脉略增粗,余颅神经未见异常。双下肢肌张力增高,左下肢肌力Ⅳ级,右下肢肌力Ⅲ级,双侧膝腱反射,跟腱反射亢进,右下肢膑阵挛(+),双侧踝阵挛
Spinal cord tumor caused by increased intracranial pressure is rare. Intramedullary spinal cord caused by intracranial hypertension is more rare. Now we encountered a case of intracranial tumors caused by high intracranial pressure are as follows: Patients: Female, 21 years old. Two months due to chest pain, right lower extremity weakness admitted to hospital for two weeks. Two months ago there was no incentive to chest and back pain, two months after the right lower limb numbness, malfunction, followed by the left lower limbs also weakness, four days before admission, micturition, urinary retention. Past history of atrial septal defect. Physical examination: body temperature 36.9 ℃; pulse: 80 beats / min; blood pressure: 15 / 12kPa. Heart and lung (a). Spine normal physiological curvature. 6 thoracic pain (+). Clear statement, fundus: the right side of the optic disc border is clear, venous slightly thicker than the cranial nerves no exception. Double lower extremity muscular tension, left lower extremity muscle strength grade Ⅳ, right lower extremity muscle strength grade Ⅲ, bilateral knee tendon reflex, Achilles tendon hyperreflexia, right lower limb clonus (+), bilateral ankle clonus