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本文报告一尸检时发现脊髓内空洞形成的病例。患者,男,44岁。病史中记载:开始时右手第4、5指出现乏力并屈曲挛缩,进行性手内肌萎缩,以后左手亦出现同样表现,右侧有麻木感但无感觉障碍体征。无括约肌功能障碍,行走正常并能胜任工作,不久前死于伤寒病。死后进行尸体解剖时发现第5~7颈脊髓中央的灰质内有空洞形成,推测上述的上肢神经学表现与脊髓内的空洞形成有关联。
This paper reports an autopsy found cases of cavity formation within the spinal cord. Patient, male, 44 years old. History records: the beginning of the fourth and fifth fingers of the right hand appeared fatigue and flexion contracture, progressive atrophy of the hands, after the same appears the same left hand, numbness on the right but no signs of sensory disturbances. No sphincter dysfunction, normal walking and competent work, died of typhoid fever not long ago. Postmortem autopsy found that there was a cavity in the gray matter of the 5th to 7th cervical spinal cord. It is speculated that the above-mentioned neurological manifestations of the upper limbs are related to the formation of cavities in the spinal cord.