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患者,男,22岁。四肢活动失灵半年。家族中有结核病史。入院查体:午后低热,被动仰卧位,四肢肌力0级,C_6以下浅感觉消失,深感觉减退,双下肢巴氏征阳性。胸片示左肺上野侵润性结核,磁共振示斜坡至C_6水平髓外硬脊膜内占位。于1993年12月24日在全麻下行枕大孔C_1—C_6椎管探查术。纵行切开硬脊膜,见斜坡至C_6水平硬脊膜内一约0.4cm×0.5cm×10cm不规则、暗黄色、质硬、界线不清的带色膜包块,切除部分病灶,病理报告结核性炎伴干酪样坏死。术后抗痨1月好转出院。出院后继续抗痨治疗。半年后随防,生活自理。
Patient, male, 22 years old. Extremities malfunction six months. The family has a history of tuberculosis. Admission examination: afternoon low fever, passive supine position, limb muscle strength 0, C_6 the following shallow feeling disappeared, deep feeling subsided, both lower extremities Pakistan’s positive sign. Chest radiographs showed invasive pulmonary tuberculosis in the left lung, MRI showed a slope to C_6 level medullary extradial epidural space. On December 24, 1993 under general anesthesia occipital foramen C_1-C_6 spinal exploration. Longitudinal incision of the dura mater, see the slope to C_6 level of the dura within about 0.4cm × 0.5cm × 10cm irregular, dark yellow, hard, unclear with color film mass, partial removal of the lesion, pathology Report tuberculous inflammation with caseous necrosis. Postoperative anti-tuberculosis improved in January discharged. Discontinue anti-tuberculosis treatment. Six months later with the anti-life self-care.