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1、CASEDISCUSSION2014-12-25Vocabularyhypoalgesia[haɪpəʊæl‘dʒi:sɪə]痛觉减退Hypoesthesia[haɪpəʊs‘θi:zɪə]感觉迟钝Myodynamia[maɪɒdaɪ‘næmjə]肌力analsphincter[ˈsfɪŋktə]肛门括约肌congenitaldysplasia[disˈpleiziə]先天性发育不良spinabifida[ˌspaɪnəˈbɪfɪdə]脊柱裂CASE1Patient:female,34yearsoldWithwaist pain andtherightlowerextremity radi
2、cularpainfor6months.Therewasnofever,noheadache,nosurgery,nohistoryoftraumaExamination:hypoesthesiaatthefrontofthethigh,BilateralLowerlimbsmyodynamiaIV,muscletension(-),BilateralBabinskisign(-)Laboratorytests(-)CTT1WIT2WISTIRCE-T1WICASE2Patient:male,32yearsoldNeckandshoulder and bilateralupperlimbs
3、 painwith limbsnumbnessandweakness formorethan6years,Thesymptomswereaggravating withlimitedmobility for10days.Therewasnofever,noheadache,nosurgery,nohistoryoftraumaExamination:passiveposture,neckmovementwasrestricted.doubleupperlimbsapparenthypoalgesia,bilateralupperlimbsmyodynamiaII;theleftlowerl
4、imbmyodynamiaI,therightlowerlimbmyodynamiaII.muscletension(-).BilateralHoffmannsign(+),Babinskisyndrome(+),Rectaltouch:theanalsphinctercontractionweakness,analreflex(-)Laboratorytests(-)CTT1WIT2WICE-T1T2WICE-T1WIPLEASEGIVEYOUROPINION手术记录case1手术记录case2Intraspinalneurentericcysts神经肠囊肿上皮细胞的显微照片。（a）囊肿
5、壁：显示单层柱状和立方上皮细胞贴附由Ⅳ型胶原组成的基底层（H和E，×200）（b）柱状上皮、立方上皮和分泌粘液的杯状细胞，高倍镜（H和E，×1000）（C）假复层纤毛柱状上皮的肠源性囊肿壁高倍镜（H和E，×1000）NeurentericcystsMRIofthoracolumbarjunctionwithintradural/extramedullaryneurentericcystatT11.(a)MidsagittalMRIdemonstratesisointenselesion(arrow)onT1-weightedand(b)hyperintensesignal(arrow)on
6、T2-weightedCauseItspathogenesisisnotclear.Itgeneralconsideredasacongenital diseaserelatedwithendodermdevelopmentdisorders.Duringembryonicdevelopmentperiod,partoftheendodermaltissueswasabnormalposteriordisplacementandembeddedintheneuraltube.Heterotopicrestsofepitheliumofgastrointestinaltissueleadto
7、eventualformationofcompressivecysticlesionsofthepediatricandadultspine.PathologicalmechanismOnly containingendodermalcomponents, similar withthedigestivetract epithelium.Form thecystwallepithelialcells canbesingl
