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患儿女,5个月。出生时即发现双下肢不能活动,以后注意到双下肢对疼痛刺激无反应;小便短频,淋漓不尽。患儿系足月顺产,母孕期未曾患病或服药。体检:精神好;囟门平,斜径2cm;右下腹壁疝(3cm×4cm);第12胸椎以下对疼痛刺激无反应;双下肢肌肉轻度萎缩,肌力0级,肌张力低,腱反射未引出;肛门括约肌松弛,肛门反射未引出。腰穿脑脊液黄色清亮,Pandy试验(+++),白细胞3×10~6/L,蛋白11.1g/L,未测压力。X线片示胸_12、腰_(1～4)骨性椎管呈膨大性改变。手术见肿瘤位于椎管内,广泛粘连,很难分离。病理报告:室管膜瘤。
Children with children, 5 months. Found that the lower limbs can not be active at birth, later noticed that the lower extremities did not respond to pain stimulation; urination short-term, dripping endless. Children with full-term follow-up of children, pregnant or pregnant women never medication or medication. Physical examination: good spine; flat fontanel, oblique diameter 2cm; right lower abdominal hernia (3cm × 4cm); 12th below the thoracic pain response to no response; mild lower extremity muscle atrophy, muscle strength, low muscle tone, tendon reflex Did not lead to; anal sphincter relaxation, anal reflex did not lead. Waist wear cerebrospinal fluid yellow clear, Pandy test (+++), leukocytes 3 × 10 ~ 6 / L, protein 11.1g / L, not measured pressure. X-ray showed chest _12, lumbar (1 to 4) showed swelling of the bony changes. Surgical see tumor located in the spinal canal, extensive adhesion, it is difficult to separate. Pathology report: Ependymoma.