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椎管内肿瘤多为单发、多发者少见,诊断与治疗均有一定困难。现将经手术证实一例报告如下: 男、24岁。患者左肩发麻,伴有疼痛6年,于1978年元月9日入院。1976年9月出现左上肢乏力、不能持物、左足麻木、痛、无力、跛行,麻木感逐渐向上蔓延。当地医院按“风湿性关节炎”治疗无效。2个月后出现左手肌肉萎缩,伴有肌肉颤动。入院前2个月又感右下肢麻木、无力、尿频、排尿困难、大便失禁。入院前10天行动明显困难,需扶行。体检:全身未发现皮下结节,胸_2棘突叩打痛。神经系统检查:胸_2以下痛觉减退,左手小鱼际肌萎缩。左上肢肌力Ⅳ级,右上肢正常。左下肢肌力Ⅲ—Ⅳ级,右下肢肌力Ⅳ级。双侧Hoffmann征(+),双侧膑阵挛及踝阵孪(++)。腹壁反射消失。双侧Babinski、Chaddock征
Spinal tumors are mostly single, multiple rare, diagnosis and treatment have some difficulties. Now confirmed by surgery, a case report is as follows: Male, 24 years old. Patient left shoulder numb, accompanied by pain for 6 years, January 9, 1978 admission. In 1976 September left upper limb fatigue, can not hold, left numbness, pain, weakness, lameness, numbness gradually spread upward. Local hospital by “rheumatoid arthritis” treatment is invalid. Left-sided muscle atrophy with muscle fibrillation after 2 months. 2 months before admission, he felt the lower extremity numbness, weakness, frequent urination, dysuria, and incontinence. Ten days before admission, the operation was obviously difficult and needed help. Physical examination: the body has not found subcutaneous nodules, chest _2 spinous process knocking pain. Nervous system examination: Chest _2 following pain reduction, left atrophy muscle atrophy. Left upper limb muscle strength Ⅳ, right upper limb normal. Left lower limb muscle strength Ⅲ-Ⅳ level, right lower limb muscle strength Ⅳ level. Bilateral Hoffmann sign (+), bipolar clonus and ankle array (++). Abdominal wall reflex disappeared. Bilateral Babinski, Chaddock sign