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患者,男,21岁。因右下肢麻木,无力进行性加重10个月而于1987年8月22日入院。麻木自上而下发展,无大小便障碍,无外伤史。检查:T_4以下右侧深浅感觉缺如,左侧痛,温觉迟钝,右下肢肌肉萎缩明显,腱反射亢进,巴彬斯基征(+),肌力Ⅳ级,左下肢正常。腰穿压力120mmH_2O,脑脊液动力学检查提示胸段椎管蛛网膜下腔有严重阻塞。CSF蛋白85mg/dl。脊髓碘油造影:T_4平面梗阻,近似杯口状,油柱与右侧椎弓根间距增宽。临床诊断,胸段椎管内硬
Patient, male, 21 years old. He was admitted to hospital on August 22, 1987 due to numbness of the right lower extremity and his inability to progressively increase for 10 months. The numbness develops from the top down and there is no defecation disorder and no history of trauma. Check: T_4 below the depth of the right side feel absent, left pain, dull feeling of temperature, muscle atrophy of the lower right leg, tendon reflexes, Babinski sign (+), muscle strength IV, left lower limb normal. Lumbar puncture pressure 120mmH 2 O, cerebrospinal fluid dynamics examination showed that the thoracic spinal canal severe obstruction. CSF protein 85 mg/dl. Cystic Lipidography: Obstruction of the T_4 plane, approximately cup-shaped, widened the distance between the oil column and the right pedicle. Clinical diagnosis, thoracic spinal stiffness