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患者,女性,45岁。双侧腰腿痛4个月,伴双下肢软瘫3个月,加重15d,于1993年5月10日入院。体检:L_1棘突周围压痛、叩击痛,脊柱生理弯曲消失,活动度明显受限,双小腿外侧缘皮肤感觉减退,双下肢肌力2级,膝反射漶失。下肢直腿抬高试验及加强试验:左侧70°阳性,右侧90°阳性。椎管造影提示:L_1段椎管梗阻,椎管内肿瘤可能。手术所见:咬除L_1～T_(10)段椎板棘突见脊髓明显膨大,质地较硬,切开
Patient, female, 45 years old. Bilateral low back pain for 4 months, with double lower limbs soft paralysis for 3 months, increased 15d, on May 10, 1993 admission. Physical examination: L_1 spinous process around the tenderness, percussion pain, spine physiological curvature disappeared, activity was significantly limited, bilateral leg lower lateral skin feel decreased, lower limb muscle strength 2, knee reflex loss. Leg straight leg raising test and strengthen the test: the left 70 ° positive, the right 90 ° positive. Spinal angiography tips: L_1 segment spinal canal obstruction, spinal canal tumor may be. Surgical findings: bite in addition to L_1 ~ T_ (10) of the lamina spinous process to see the spinal cord was significantly enlarged, hard texture, incision