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脊髓内肿瘤破裂可产生蛛网膜下腔出血或白细胞增多,出现明显的脑膜刺激征与发热。在以白细胞增加为主时容易与细菌性脑膜炎相混淆。本文报告1例马尾部室管膜瘤破裂入蛛网膜下腔,出现明显的脑膜刺激征并伴有发热与白细胞增高,拟诊为细菌性脑膜炎,经抗生素治疗无效。患者男性,29岁,突发严重下腰痛与双下肢无力,数小时后颈硬,体温高达39℃。脑脊液压力290mmH_2O,白细胞5,200/mm~3(80％为不典型细胞),红细胞4,500/mm~3,蛋白212mg/dl,糖50mg/dl,细
Spinal cord rupture can produce subarachnoid hemorrhage or leukocytosis, significant signs of meningeal irritation and fever. In the main increase in white blood cells easily confused with bacterial meningitis. This article reports a case of cauda equina tumor ruptured into the subarachnoid space, significant signs of meningeal irritation associated with fever and leukocytosis, to be diagnosed as bacterial meningitis, antibiotic therapy ineffective. Male, 29 years old, with severe low back pain and weakness in both lower extremities. Neck stiffness after a few hours and temperature as high as 39 ° C. Cerebrospinal fluid pressure 290mmH2O, white blood cells 5,200 / mm ~ 3 (80% of atypical cells), erythrocyte 4,500 / mm ~ 3, protein 212mg / dl, sugar 50mg / dl, fine