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患儿,女,7岁。于3个月前突感右手及下肢麻木,运动障碍,某医院按小儿麻痹治疗月余无效;入我院。1 查体生命体征正常。颈椎呈前倾位,不能转动;四肢肌肉萎缩,上肢腱反射消失,下肢腱反射亢进。末稍血相及碱性磷酸酶正常。X线见颈椎弧度反曲,骨质无增生及破坏。椎管造影示造影剂至第7颈椎上缘水平处完全性阻塞,呈大杯口状,脊髓膨大但无移位。诊断:髓内占位性病变。2 手术开切硬膜后见脊髓局部增粗,长约4Cm,穿刺未抽出液体。切开软膜见-1.5×20Cm暗紫色肿物。病理诊断颈髓转移腺癌。
Children, female, 7 years old. 3 months ago suddenly felt the right hand and lower extremity numbness, dyskinesia, polo ralph lauren pas cher, according to a hospital treatment of polio more than a month invalid; into our hospital. 1 physical examination vital signs normal. Anterior cervical spine, can not rotate; limb muscle atrophy, upper limb tendon reflex disappeared, lower extremity tendon hyperreflexia. Terminal blood and alkaline phosphatase normal. X-ray see cervical curvature of curvature, no proliferation of bone and destruction. Spinal angiography showed contrast agent to the seventh cervical vertebral margin at the level of complete obstruction, was a large cup of mouth, spinal cord enlargement without displacement. Diagnosis: intramedullary space-occupying lesions. 2 surgery to cut the dura after see the local thickening of the spinal cord, about 4Cm, puncture did not withdraw liquid. Cut the soft membrane see -1.5 × 20Cm dark purple mass. Pathological diagnosis of cervical metastasis of adenocarcinoma.