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患者男,66岁。因左侧肢体无力2d,加重1d就诊。既往有脑梗死病史。入院后1d患者出现腹胀,尿便失禁,随即出现双侧下肢活动不能。查体:T4水平以下深浅感觉均消失,未引出生理反射和病理反射。腰穿压颈试验提示椎管内存在梗阻性病变。磁共振扫描示T4-T6水平见5cm×2.5cm×1.3cm椎管内硬膜外占位,T5右侧椎体、椎弓、附
Patient male, 66 years old. Due to the left limb weakness 2d, increase 1d treatment. Past history of cerebral infarction. 1d after admission patients with abdominal distension, urinary incontinence, then there will be bilateral lower extremity activity can not. Examination: T4 level below the depth of feeling disappeared, did not lead to physiological reflex and pathological reflex. Lumbar pressure neck test showed that there are obstructive lesions in the spinal canal. Magnetic resonance scan showed T4-T6 level see 5cm × 2.5cm × 1.3cm spinal epidural space, T5 right vertebral body, pedicle, with