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1、CASEDISCUSSION2014-12-25Vocabularyhypoalgesia[ha?p???l‘d?i:s??]痛覺減退Hypoesthesia[ha?p??s‘θi:z??]感覺遲鈍Myodynamia[ma??da?‘n?mj?]肌力analsphincter[?sf??kt?]肛門括約肌congenitaldysplasia[dis?pleizi?]先天性發(fā)育不良spinabifida[?spa?n??b?f?d?]脊柱裂CASE1Patient:female,34yearsoldWithwaist?pain?andtherightlower
2、extremity?radicularpainfor6months.Therewasnofever,noheadache,nosurgery,nohistoryoftraumaExamination:hypoesthesiaatthefrontofthethigh,BilateralLowerlimbsmyodynamiaIV,muscletension(-),BilateralBabinskisign(-)Laboratorytests(-)CTT1WIT2WISTIRCE-T1WICASE2Patient:male,32yearsoldNeckandshou
3、lder?and?bilateralupperlimbs?painwith?limbsnumbnessandweakness?formorethan6years,Thesymptomswereaggravating?withlimitedmobility?for10days.Therewasnofever,noheadache,nosurgery,nohistoryoftraumaExamination:passiveposture,neckmovementwasrestricted.doubleupperlimbsapparenthypoalgesia,bil
4、ateralupperlimbsmyodynamiaII;theleftlowerlimbmyodynamiaI,therightlowerlimbmyodynamiaII.muscletension(-).BilateralHoffmannsign(+),Babinskisyndrome(+),Rectaltouch:theanalsphinctercontractionweakness,analreflex(-)Laboratorytests(-)CTT1WIT2WICE-T1T2WICE-T1WIPLEASEGIVEYOUROPINION手術(shù)記錄case1
5、手術(shù)記錄case2Intraspinalneurentericcysts神經(jīng)腸囊腫上皮細(xì)胞的顯微照片。（a）囊腫壁：顯示單層柱狀和立方上皮細(xì)胞貼附由Ⅳ型膠原組成的基底層（H和E，×200）（b）柱狀上皮、立方上皮和分泌粘液的杯狀細(xì)胞，高倍鏡（H和E，×1000）（C）假復(fù)層纖毛柱狀上皮的腸源性囊腫壁高倍鏡（H和E，×1000）NeurentericcystsMRIofthoracolumbarjunctionwithintradural/extramedullaryneurentericcystatT11.(a)MidsagittalMRIdemonstrate
6、sisointenselesion(arrow)onT1-weightedand(b)hyperintensesignal(arrow)onT2-weightedCauseItspathogenesisisnotclear.Itgeneralconsideredasacongenital?diseaserelatedwithendodermdevelopmentdisorders.Duringembryonicdevelopmentperiod,partoftheendodermaltissueswasabnormalposteriordisplacementa
7、ndembeddedintheneuraltube.Heterotopicrestsofepitheliumofgastrointestinaltissueleadtoeventualformationofcompressivecysticlesionsofthepediatricandadultspine.PathologicalmechanismOnly?containingendodermalcomponents,?similar?withthedigestivetract?epithelium.Form?thecystwallepithelialcell
8、s?canbesingl
