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本文作者报告厂三例亚急性、进行性尾髓血管畸形误诊为原发性脊髓肿瘤的病例。在三例病人中,男性2例,女性1例,年龄最大71岁,最小56岁。病情呈急性发展2例,亚急性1例;3例均双下肢无力症状;双下肢麻木2例,进行性截瘫1例。术前均行CT及MRI以及脊髓造影检查,未作脊髓血管造影。脑脊液(CSF)检查,2例蛋白增高其中1例白蛋白,IgG增高,肌电图检查表现为多神经元疾病。CT及MRI示脊髓园锥部弥漫性扩张。术前诊断:脊髓肿瘤;其中1例诊断为恶性肿瘤。3例病人均作了手术探查,术中观察园锥部呈弥漫性扩大,硬膜、蛛网膜、脊髓表面血管未发现异常;病理标本切片,苏木精,四溴莹光素—三原色染色,3例切片中均有透明血增加,周围血管含铁血黄素沉淀和慢性胶质病变,2例有少量血管血栓形成,1例血管壁钙化,切片中均
The authors report three cases of subacute plant, vascular repair of misdiagnosed as primary spinal cord tumor cases. Among the three patients, 2 were males and 1 was females, the youngest being 71 years old and the youngest 56 years old. 2 cases of acute exacerbation, 1 case of subacute, 3 cases of both lower extremity weakness symptoms, 2 cases of numbness of lower extremities and 1 case of paraplegia. Preoperative CT and MRI as well as myelography, spinal cord angiography was not. Cerebrospinal fluid (CSF) examination, 2 cases of protein increased in 1 case albumin, IgG increased, electromyography showed polyneuropathy. CT and MRI showed diffuse spinal dural cone expansion. Preoperative diagnosis: spinal cord tumors; one case of a diagnosis of malignant tumors. All the 3 patients underwent surgical exploration. During the intraoperative observation, the cone of the condyloma acuminatum was diffusely enlarged. There was no abnormal blood vessels in the dura, arachnoid and spinal cord. Pathological sections, hematoxylin and tetrabromophosphoric acid - Transparent blood increased in all 3 cases, peripheral blood hemosiderin pellet and chronic glia lesions, 2 cases had a small amount of vascular thrombosis, 1 case of calcification of the vascular wall, the slices were