论文部分内容阅读
脊椎后纵韧带骨化临床罕见。我院收治一例,报告如下: 王××,男,58岁,1974年感双手端麻木,渐向肘、肩漫延。1979年双下肢也感麻木、伴走路不稳。但仍能骑车。手的精细运动障碍。每当举臂伸腰时,后背部有异常感觉而引起四肢不自主的屈曲或抖动。1983年出现尿、便失禁。无踏棉感及饮水发呛。1985年5月7日入院。既往史:82年确诊为颈椎病,85年发现糖尿病。查体:血压130/80mmHg,体温、脉搏,心、肺、脾正常。神志清,颅神经正常,下颌及掌颏反射未引出。颈活动略受限,四肢肌张力略高,肌力轻度减退。胸、背、肩肌无明显萎缩。生理反射增强,膝、跟腱反射明显亢进。左Hoffmann氏征(+),双Babinski;氏征(-),双腹壁反射阴性,双
Posterior longitudinal ligament ossification is rare. A hospital admitted to our hospital, the report is as follows: Wang × ×, male, 58 years old, 1974, both hands numb side, gradually elbow, shoulders. 1979 both legs feel numb, with walking instability. But still can ride. Fine hand movement disorders. Whenever the arm raised his leg, the back of the unusual feeling caused by involuntary limb flexion or jitter. Urine appeared in 1983, they incontinent. No cotton feel and drinking water choking. May 7, 1985 admission. Past history: 82 years diagnosed as cervical spondylosis, 85 years of diabetes found. Physical examination: blood pressure 130 / 80mmHg, body temperature, pulse, heart, lung, spleen normal. Consciousness, normal cranial nerves, jaw and palm chin reflex did not lead. Neck activity is slightly limited, limb muscle tension slightly higher, mild muscle weakness. Chest, back, shoulder muscle no obvious atrophy. Physiological reflex, knee, Achilles tendon reflex significantly hyperthyroidism. Left Hoffmann’s sign (+), double Babinski’s sign (-), double abdomen reflex negative, double