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患者女性,42岁。主诉预后及肩背部间断性疼痛5年,右上肢乏困无力1年,双下肢无力2月。查体:颅神经阴性,C_(5·6·7)棘突压痛阳性,颈部活动受限。右上肢肌力Ⅲ级,左上肢Ⅴ级,双下肢肌力Ⅴ-级,C_(6·7)以下感觉减退,右手大小鱼际肌明显萎缩。双下肢肌张力亢进,膝腱反射活跃,双Babinski’s征(+)。腰穿CSF蛋白0.23g/L,Qvecken-stedt试验椎管腔完全梗阻。MRI示C_1～T_2髓外硬脊膜内占位性病变。
Patient female, 42 years old. Chief Prognosis and shoulder back intermittent pain for 5 years, weakness in the upper right leg weakness for 1 year, weakness in both legs in February. Examination: cranial nerve-negative, C_ (5.6.7) spinous process tenderness, cervical activity is limited. Right upper extremity muscle strength grade Ⅲ, left upper limb grade Ⅴ, lower limb muscle strength Ⅴ - grade, C_ (6.7) following sensory decline, right atrial size of the attic muscle was significantly atrophy. Double lower extremity hypertonia, knee tendon reflexes active, double Babinski’s sign (+). Lumbar CSF protein 0.23g / L, Qvecken-stedt test complete spinal canal obstruction. MRI showed C_1 ~ T_2 intramedullary spinal intramedullary lesions.