论文部分内容阅读
湖北医学院附二院神经外科 袁忠惠等报道 男性,31岁,双下肢感觉障碍伴步行困难3个月。麻木始于右下肢,由下向上波及躯干和左下肢,继而出现括约肌功能障碍及植物神经功能失调。检查:感觉缺失平面位于剑突处,双上肢肌张力增高,但右>左。肌力0～1级,浅反射消失,腱反射亢进,双侧Babinski征阳性。胸片示右上纵膈局限性隆起,呈半球状,密度均匀,界限整齐。右侧位片示块影与胸_5椎体相重。左右斜位片椎间孔显示不清楚,椎管造影 湖北医学院附二院神经外科 袁忠惠等报道 男性,31岁,双下肢感觉障碍伴步行困难3个月。麻木始于右下肢,由下向上波及躯干和左下肢,继而出现括约肌功能障碍及植物神经功能失调。检查:感觉缺失平面位于剑突处,双上肢肌张力增高,但右>左。肌力0～1级,浅反射消失,腱反射亢进,双侧Babinski征阳性。胸片示右上纵膈局限性隆起,呈半球状,密度均匀,界限整齐。右侧位片示块影与胸_5椎体相重。左右斜位片椎间孔显示不清楚,椎管造影
Yuan Zhonghui et al., Department of Neurosurgery, Second Affiliated Hospital, Hubei Medical College reported that men, 31 years old, had sensory dysfunction of both lower extremities with difficulty walking for 3 months. Numbness began in the right lower extremity, affecting the lower torso and the lower extremity from below, followed by sphincter dysfunction and autonomic dysfunction. Check: sense of missing plane is located in the xiphoid, double upper limb muscle tension increased, but right> left. Muscle strength 0 to 1, disappearance of superficial reflex, tendon hyperreflexia, bilateral Babinski sign positive. Chest radiograph showed the limitations of the right mediastinum uplift, hemispherical, uniform density, tidy boundaries. The right side of the film block and chest _5 vertebral body weight. Right and left oblique disc foraminal display unclear, spinal angiography Second Affiliated Hospital of Hubei Medical College Yuan Zhonghui reported male, 31 years old, both lower extremity sensory dysfunction with walking difficulties for 3 months. Numbness began in the right lower extremity, affecting the lower torso and the lower extremity from below, followed by sphincter dysfunction and autonomic dysfunction. Check: sense of missing plane is located in the xiphoid, double upper limb muscle tension increased, but right> left. Muscle strength 0 to 1, disappearance of superficial reflex, tendon hyperreflexia, bilateral Babinski sign positive. Chest radiograph showed the limitations of the right mediastinum uplift, hemispherical, uniform density, tidy boundaries. The right side of the film block and chest _5 vertebral body weight. Idiopathic left and right intervertebral foramen shows unclear, spinal angiography