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患者女,25岁。以右侧肢体麻木、左下肢麻木伴无力3个月就诊。患者3个月前无明显诱因感右侧肢体麻木,伴左下肢麻木、无力,偶伴胸部束带感。体检:患者跛行,双侧膝跟腱反射亢进(++++),双侧上肢肌力Ⅳ级(+),右侧下肢肌力Ⅳ级(+),左侧下肢肌力Ⅳ级(-),右侧下肢浅感觉轻度减退,左下肢感觉未见异常。X线检查:胸椎未见明显异常。CT检查:T_(2、3)水平椎管内外偏左后方见不规则软组织密度影,邻近T_2椎体左侧附
Female patient, 25 years old. To the right limb numbness, left lower extremity numbness with weakness 3 months treatment. Patients 3 months ago, no obvious incentive to feel the right limb numbness, with left lower limb numbness, weakness, coupled with a sense of chest strap. Physical examination: patients with claudication, bilateral Achilles tendon hyperreflexia (++++), bilateral upper limb muscle strength Ⅳ (+), right lower limb muscle strength Ⅳ (+), left lower limb muscle strength Ⅳ (- ), Mild lower extremity mild sensory loss, left lower extremity sensory abnormalities. X-ray examination: no obvious thoracic abnormalities. CT examination: T_ (2, 3) level of the left and right behind the spinal canal see irregular soft tissue density shadow, adjacent to the left side of T 2 vertebral attached