论文部分内容阅读
患者男性,49岁。因双下肢进行性截瘫7个月余于1986年12月24日入院。检查:胸_(10)～腰_1痛觉迟钝,腰_1以下痛觉全消失。双下肢肌萎缩,肌力为0级。双侧膝、跟腱反射,提睾及下腹壁反射消失。未引出病理反射。胸_(10)棘突有压痛,其左侧5cm处可扪及9×6cm卵圆形包块,质硬,有压痛。腰穿奎根氏试验呈完全性梗阻。脑脊液无色透明,细胞5个/mm~3,蛋白定量128.6mg％。脊柱平片示:胸_(10)及胸_(11)左侧椎弓根
Male patient, 49 years old. Due to paraplegia of both lower extremities more than 7 months in December 24, 1986 admission. Check: chest _ (10) ~ waist _1 painless, waist _1 following the pain disappeared. Lower extremity muscle atrophy, muscle strength of 0. Bilateral knees, Achilles tendon reflex, cremaster and lower abdominal reflex disappeared. Did not lead to pathological reflex. Chest _ (10) There are tender spinous process, the left 5cm palpable and 9 × 6cm oval mass, hard, tenderness. Lumbar Quaker’s test showed complete obstruction. Colorless and transparent cerebrospinal fluid, cells 5 / mm ~ 3, protein quantification 128.6mg%. Spine plain shows: chest _ (10) and chest _ (11) left pedicle