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椎管内原发性黑色素瘤较为罕见,我院收治1例,现报告如下。 患者 男,40岁。双下肢麻木无力伴大小便障碍1年,加重1个月于1985年5月18日入院。患者于1984年3月起感觉双足麻木,4个月后麻木感平膝关节,并感双下肢无力。针炙和中药治疗无效。同年12月麻木发展到脐以下二横指处,下肢靠扶拐拖步而行。1985年2月不能站立,入院前1个月出现排尿困难,大便于结。检查:皮肤,巩膜和眼底均未见黑色素痣。颅神经未发现异常,心肺功能好,肝脾不肿大。双下肢肌张力增高,左下肢肌力3级,右下肢肌力 2级。触觉无障碍。L_1以下痛温觉消失,T_(11)以下痛温觉减退。双侧Babinski征阳性,双侧下腹壁
Primary spinal canal melanoma is rare, admitted to our hospital in 1 case, are as follows. Male patient, 40 years old. Numbness of lower extremity numbness with urinary incontinence 1 year, an increase of 1 month in May 18, 1985 admission. The patient felt numbness of the feet in March 1984, healed the flat knee four months later, and felt weakness in both lower extremities. Acupuncture and Chinese medicine treatment is invalid. In December the same year numb development to the umbilicus below the two cross-refers to the lower limbs abduction by towing step. February 1985 can not stand, one month before admission, dysuria, stool in the knot. Check: skin, sclera and fundus have not seen melanoma. Cranial nerves were not found abnormal heart and lung function, liver and spleen is not enlarged. Lower extremity muscle tension increased, left lower extremity muscle strength 3, right lower extremity muscle strength 2. Tactile accessibility. L_1 following pain disappeared, T_ (11) pain decreased after pain. Bilateral Babinski sign positive, bilateral lower abdominal wall