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神经影像学的进步无疑对神经系统疾病的诊断有重要价值,但不重视神经系统的检查与定位诊断,一味依赖影像诊断也往往会导致误诊漏诊。现报告3例椎管内肿瘤的定位定性诊断错误。1 病例报告 例1 因神经系统检查遗漏体征而出现定位错误,未重视既往史而出现定位错误。 男性患者,28岁,因右下肢乏力,跛行,下半身发麻4个月,加重伴大、小便轻度功能障碍半月而入院。4年前及2年前,患者曾先后二次在外院行右上
Neuroimaging progress undoubtedly has important value in the diagnosis of nervous system diseases, but does not attach importance to the nervous system inspection and positioning diagnosis, blindly rely on the imaging diagnosis will often lead to misdiagnosis and missed diagnosis. Reported 3 cases of spinal canal tumor localization qualitative diagnosis error. 1 case report 1 due to neurological examination of missing signs and positioning errors, did not attach importance to the past history and positioning errors. Male patient, 28 years old, due to weakness of the right lower leg, claudication, lower body numb 4 months, aggravated with large, mild dysfunction and urinary admission for half a month. 4 years ago and 2 years ago, the patient has successively in the upper right outside the hospital line