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患者 男,62岁。因双下肢上升性麻木,持续性疼痛,逐渐不能行走5个月,大小便障碍2个月,于1985年5月6日入院。检查:全身明显消瘦,皮肤未见黑色素症。双下肢肌肉萎缩,肌张力增高,肌力1～2级;双膝反射亢进,髌、踝阵挛(+),双Babinski氏征(+),T_4以下深浅感觉近乎消失。碱性磷酸酶10.8U,血沉90mm/h。奎肯氏试验提示椎管完全梗阻,腰穿脑脊液外观淡黄色,白细胞400个/mm~3,蛋白1.88g/L(188mg％)。脊髓碘
Male patient, 62 years old. Due to rising lower limb numbness, persistent pain, gradually unable to walk 5 months, urine disorder 2 months, on May 6, 1985 admission. Check: The body was significantly thinner, no melanoma skin. Both lower extremity muscle atrophy, muscle tension increased, muscle strength 1 to 2; knee hyperreflexia, patellar, ankle clonus (+), double Babinski’s sign (+), T_4 the following shades feel almost disappeared. Alkaline phosphatase 10.8U, ESR 90mm / h. Kuiken’s test showed complete spinal canal obstruction, lumbar cerebrospinal fluid appearance of pale yellow, white blood cells 400 / mm ~ 3, protein 1.88g / L (188mg%). Spinal cord iodine