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髓内结核球一例
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIOLOGY
- Issue:
- 7
- DOI:
- 10.3760/j.issn:1005-1201.2002.07.028
- Key Word:
- No keyword available
Abstract： @@ 患者男,25岁,颈部疼痛,四肢麻木、乏力3个月,加重伴大小便障碍数日入院.体检:体温36.5℃,蹒跚步态,C5以下感觉分离,右侧肢体肌力Ⅳ级,左侧Ⅳ+级,浅反射减退,深反射亢进,强迫头位,病理征右侧(+),左侧(±).血常规检查:白细胞6.9×109/L,中性粒细胞0.74,淋巴细胞0.25,单核细胞0.18.MRI检查:C2～T2段脊髓增粗,呈长T1、长T2水肿信号,C5～6段髓内见一椭圆形病灶,呈等T1、长T2信号,注入钆喷替酸葡甲胺(Gd-DTPA)后呈环状强化,壁厚薄均匀,边界清楚(图1～3).MRI诊断:室管膜瘤.手术所见:后正中及右侧软脊膜变暗,肿物呈灰白色,质韧,血供不丰富,未见包膜,与正常脊髓组织分界不清,上下端未见空洞.病理诊断:髓内结核球.
- [1]Rockswold GL,Bergman TA,Erickson DL,etc.Spinal tuberculosis: a diagnostic and management challenge.[J].1995,83(2).
- [2]A H, MacDonnell,R W, Baird,M S, Bronze.Intramedullary tuberculomas of the spinal cord: case report and review.[J].1900,12(3).
- [3]J S, Citow,M, Ammirati.Intramedullary tuberculoma of the spinal cord: case report.[J].1994,35.
- [4]Khosla VK,Sharma BS,Gupta VK.Intramedullary tuberculoma: report of two cases with MRI findings.[J].1995,44(3).