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本文作者报告了一例多发性硬膜外扩张型脊椎血管瘤,同时继发有痉挛性下肢轻瘫的病人的诊断治疗过程,并结合文献资料对脊椎血管瘤的各种治疗方法,包括:手术、栓塞及放射治疗进行了探讨。 男性,25岁,18个月前因肩肿间疼痛,下肢渐进麻木无力3周入院,体查发现严重双下肢痉挛性轻瘫(肌力Ⅲ-Ⅳ)双侧巴氏征(+)T_4水平以下,双侧感觉障碍,颅神经正常。椎管造影T_3水平梗阻,CT示T_3椎体有骨质破坏及同一水平右侧椎管硬膜外占位,MRI示整个T_3椎体强化影,T_6和T_(11)均有小强化病灶。手术:初期对患者实施了T_2-T_4的椎板切开减压术,术中证
The authors report a case of multiple epidural ectatic spine hemangioma, simultaneous diagnosis and treatment of patients with spastic paraparesis, combined with literature data on various treatments for spinal hemangiomas, including surgery, Embolization and radiation therapy were discussed. Male, 25 years old, 18 months ago due to pain in the shoulders, progressive numbness of the lower extremity, admission to hospital for 3 weeks, physical examination revealed severe double lower limb spastic spasm (myolidrosis III-IV) bilateral Bars syndrome (+) T4 levels Following bilateral sensory disturbances, the cranial nerves were normal. Spinal angiography T_3 level obstruction, CT showed T_3 vertebral bone destruction and the same level of the right spinal canal epidural space, MRI showed the entire T_3 vertebral enhancement, T_6 and T_ (11) have small fortified lesions. Surgery: In the initial stage, patients were treated with laminectomy and decompression of T_2-T_4.