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患者男,52岁,1997年3月19日因颈部疼痛伴四肢麻木1年,胸闷、右侧肢体进行性功能障碍1周入院。术前准备期间右上肢不能活动,右下肢乏力不能行走,胸闷加重,需吸氧。检查:颈部活动受限,不能点头和转头。C_2棘突有压痛,右颈部下颌骨下缘扪及颌蛋大小椭圆形肿块,有压痛,质中,活动度小。肿块表面可扪及颈动脉搏动。右上肢肌力Ⅱ级,右手略能作指间关节活动。右下肢肌力Ⅲ级。右侧肢体痛觉减退。左侧肢体肌力正常,但痛觉丧失,深感觉存在,表现为不典型的Brown-Sequard特征。两侧Hoffmann征、Babinski征均
A male patient, 52 years old, was admitted to the hospital on March 19, 1997 for neck pain for 1 year with numbness of the extremities, chest tightness, and sexual dysfunction of the right limb. During the preoperative preparation period, the right upper limb cannot move, the right lower limb fails to walk, and the chest tightness increases. The oxygen needs to be absorbed. Check: Neck activity is limited and no head or head can be turned. C2 spinous process tenderness, right neck lower jaw mandibular zygomatic and mandibular egg size oval mass, tenderness, quality, activity is small. The tumor surface can be paralyzed and the carotid artery beats. Right upper limb muscle strength class II, right hand slightly for the joint activities. Right lower limb muscle strength level III. The right limb shows diminished pain. The muscle strength of the left limb was normal, but the loss of pain was felt and deep sensation existed, showing an atypical Brown-Sequard feature. The Hoffmann and Babinski signs are on both sides