胸椎管内硬脊膜外海绵状血管瘤一例

发布时间：2018-02-04 00:53

本文关键词： 海绵状血管瘤胸椎管下肢肌硬脊膜外感觉消失大腿根部巴宾斯基征膝跳反射四肢肌进行性加重 　出处：《临床放射学杂志》2017年03期 　论文类型：期刊论文

【摘要】：正患者女,51岁。半年前出现膝关节以下麻木无力,后逐渐蔓延至双侧大腿根部,症状进行性加重,3个月后已不能独立行走。体检:四肢肌张力正常,右下肢肌力2级,左下肢肌力1级。双侧T_(11)以下痛觉减退,左下肢膝关节以上深浅感觉下降,膝关节以下、脚部深浅感觉消失,右下肢深浅感觉下降,会阴部感觉下降,肛门反射未引出,双侧巴宾斯基征阳性,左侧膝跳反射减弱,右侧正常。磁共振检查:T_(9~11)水平椎管内可见条形长T_1、稍长T_2
[Abstract]:The patient was 51 years old. She developed numbness and weakness under the knee half a year ago, and then spread to the root of both thighs. The symptoms were gradually aggravated. After 3 months, she could not walk independently. Physical examination: the muscle tension of the limbs was normal. The muscle strength of the right lower limb was grade 2, the muscle strength of the left lower extremity was grade 1. The pain sensation was decreased below the bilateral T _ tid _ (11), the deep and shallow sensation of the knee joint above the left lower extremity decreased, and the deep and shallow sensation of the foot disappeared under the knee joint. The deep and shallow sensation of the right lower extremity was decreased, the perineum sensation was decreased, the anal reflex was not elicited, the bilateral Babinsky sign was positive, and the left knee jump reflex was weakened. The right side is normal. Mr examination: 1: T / T + 9 / 11) in the horizontal spinal canal you can see a long strip T _ 1, and a little longer T _ 2 / T _ 2.
【作者单位】：郑州大学第一附属医院磁共振科;
【分类号】：R739.4;R445.2
【正文快照】： 患者女,51岁。半年前出现膝关节以下麻木无力,后逐渐蔓延至双侧大腿根部,症状进行性加重,3个月后已不能独立行走。体检:四肢肌张力正常,右下肢肌力2级,左下肢肌力1级。双侧T11以下痛觉减退,左下肢膝关节以上深浅感觉下降,膝关节以下、脚部深浅感觉消失,右下肢深浅感觉下降,会

【相似文献】