脊髓转移性高分化神经内分泌肿瘤1例
Journal of Clinical Neurosurgery(2013)
Abstract
<正>1病例男,43岁。主诉"腰背部酸胀、疼痛伴双下肢乏力20天余"于2012年7月入院。查体:双下肢肌力Ⅳ级,肌张力不高,生理反射存在,病理反射未引出。腰椎MRI示:L2~3水平椎管内可见结节状等T1稍短T2异常信号,病灶上下缘水平脊髓蛛网膜下腔呈杯口样凹陷扩大。增强MRI示L2~3椎间隙水平椎管内可见结节明显强化,信号尚均,边缘清晰。L4/5、L5/S1椎间盘后缘示条片状强化灶,以L4/5椎间盘为著(图1)。初步诊断:L2~3椎管占位性病变。全麻下行L2~3椎管右侧半椎板开窗肿瘤切除术。术中见肿瘤组织呈暗
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