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例1,女性32岁,8个月前出现双下肢麻木无力,2天前突感腰痛,15小时内出现双下肢截瘫伴尿潴留,病后2个月曾行胸段MRI检查未见异常。查体,脑膜刺激征(+),双手大小鱼际肌萎缩,双上肢肌力V°,双下肢肌力Ⅱ°肌张力增高,双腹壁反射消失,双下肢腱反射活跃,T_2以下痛觉及关节位置觉消失,双T_2以下汗腺分泌减少。颈椎X线片示颈椎病。腰穿;脑脊液黄色,压力0.59kpa,动力试验完全梗阻,细胞数0.4×10~9/L白细胞0.078×10~9/L蛋白2.36g/L颈段MRI(二次)显示
Example 1, female 32 years old, 8 months ago appeared numbness of lower extremity weakness, 2 days ago sensation low back pain, 15 hours of bilateral lower limb paraplegia with urinary retention, 2 months after the line had chest MRI examination showed no abnormalities. (+), Muscle atrophy at both hands size, upper limb muscle strength V °, lower limb muscle strength Ⅱ ° muscle tension increased, double abdominal wall reflex disappeared, tendon reflexes of both lower extremities below the T_2 pain and joint Loss of position perception, reduced secretion of sweat glands below double T_2. Cervical X-ray film shows cervical spondylosis. Lumbar puncture; cerebrospinal fluid yellow, pressure 0.59kpa, dynamic test complete obstruction, cell number 0.4 × 10 ~ 9 / L white blood cells 0.078 × 10 ~ 9 / L protein 2.36g / L cervical MRI (secondary)