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腰椎术后脑梗死并发运动性失语一例

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摘要 患者女,43岁,因腰痛伴右下肢疼痛麻木1年于2015年7月入院.查体显示L4、I5椎旁叩击痛及右下肢感觉减退.腰椎磁共振成像(MRI)示L4/5轻度椎间盘突出伴右侧神经根受压,随后行椎间盘造影术未见明显异常.实验室检查示凝血酶原时间延长(16.9 s),活化部分凝血活酶时间延长(55.0 s),国际标准化比值(INR)升高(1.41).患者有肥胖病史(体重75 kg;身高155 cm;体质指数为31.22 kg/m2)及10年5支/d的吸烟史.2个月前患者曾因双手麻木、双下肢行走无力而就诊,颈椎MRI示C5/6椎间盘突出伴神经压迫,后于全麻下行C5/6减压植骨融合内固定术,术后患者双手麻木感及双下肢无力感较术前改善,复查随访无明显异常.
作者 陈睿 何海龙
出处 《中华医学杂志》 CAS CSCD 北大核心 2016年第39期3182-3183,共2页 National Medical Journal of China
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