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1 病例报告 患者女,13岁,因双下肢无力渐加重、排尿费力3个月入院。检查:患者一般情况可,有驼背,双下肢肌力Ⅲ级,不能自己行走,肌张力高;鞍区痛觉减退,肛门反射消失,膝腱反射、跟腱反射亢进。双侧Babinski征阳性;X线平片提示T_9～L_1椎弓根间距增宽,MRI见T_9～L_1椎管内脊髓背侧硬脊膜外一巨大囊性占位(约11cm×2cm×3cm),该段脊髓受压,诊断为硬脊膜外囊肿。在全麻下开椎,充分显露T_8～L_1
A case report Female patient, 13 years old, due to weakness in both lower extremities gradually increased, urination laborious 3 months admitted to hospital. Check: Patients generally have humpback, lower extremity muscle strength grade III, can not walk on their own, high muscle tension; saddle area analgesia, anal reflex, knee tendon reflex, Achilles tendon hyperreflexia. Bilateral Babinski sign positive; X-ray showed T_9 ~ L_1 pedicle spacing widened, MRI see T_9 ~ L_1 spinal spinal dorsal spinal epidural a huge cystic mass (about 11cm × 2cm × 3cm) The spinal cord was compressed and diagnosed as epidural cyst. Open the vertebra under general anesthesia, fully exposed T_8 ~ L_1