双侧旁中央小叶病变 ,临床表现可酷似脊髓病变 ,应引起注意 ,现报告 1例如下。1　病例　女 ,71岁。急起双下肢、左上肢无力 ,言语含糊、大小便失禁 17天于 2 0 0 0年 10月 17日入院。病初患者在外院查 CT示 :多发腔隙性脑梗死 ,给予血栓通注射液等药物治疗 ,4天后左上肢肌力恢 Bilateral central leaflet lesions, clinical manifestations may resemble myelopathy, should pay attention to the report 1 case is as follows. 1 case female, 71 years old. Emergency double leg, left upper limb weakness, vague words, incontinence 17 days in 2000 on October 17 admission. Patients with early disease in the hospital CT examination showed: multiple lacunar infarction, given thrombosis injection and other drug treatment, 4 days after the upper limb muscle strength and recovery