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朱××,男性,65岁,以渐进性双下肢瘫二年,大便困难、小便潴留半个月收入住院。二年前自觉左足底阴凉感,逐渐麻木无力,病后一年,右下肢也出现同样感觉。入院前半个月,双下肢瘫痪,大小便潴留。既往患左眼底囊虫,周身皮下囊虫结节,经病理检查证实。无颅内囊虫病表现。入院检查:神志清,血压130/90毫米汞柱,周身散在皮下囊虫结节。颅神经及双上肢肌力、肌张力正常。双下肢肌力Ⅰ级、肌张力增高、腱反射亢进,病理反射阴性。浅部感觉平面位于胸5~6水平。实验室检查:血常规正常。脑脊液囊虫免疫试验64倍阳性,血囊虫免疫试验128倍阳性。脊柱平片及胸透未见异常。腰椎穿刺脑压正常,Queckenstedt试验梗阻;脑脊液化验细胞蛋白分离。经枕大池下行性脊髓造影,电视下见造影剂于胸椎4、5水平流动缓慢,并
Zhu × ×, male, 65 years old, with progressive lower limb paralysis for two years, stool difficulties, urinary retention half a month income hospitalization. Two years ago conscious left sole cool, gradually numbness, sickness a year, the right lower extremity also appeared the same feeling. Half a month before admission, both lower limb paralysis, retention of urine. Previously suffering from left fundus cysticercosis, peritumoral cysticercosis nodules confirmed by pathological examination. No intracranial cysticercosis performance. Admission check: Conscious, blood pressure 130/90 mm Hg, whole body scattered in the subcutaneous cysticercosis nodules. Cranial nerve and upper limb muscle strength, muscle tone normal. Lower limb muscle strength Ⅰ, increased muscle tone, tendon hyperreflexia, pathological reflex negative. Shallow feeling plane is located in the chest 5 to 6 levels. Laboratory tests: normal blood. Cerebrospinal fluid cysticercosis immune test 64 times positive, hematocrit immune test 128 times positive. Spine plain film and no abnormal chest X-ray. Normal lumbar puncture pressure, Queckenstedt test obstruction; cerebrospinal fluid test cell protein separation. Down the pillow through the pool of myelography, see the contrast agent under the thoracic and bronchus 4,5 flow slow, and