A 20-Year-Old Man With Back Pain and Lower Extremity Weakness

被引：1
作者：
Etherton, Mark R. [1 ,2 ,3 ]
Neagu, Martha R. [1 ,2 ,3 ]
Oakley, Derek H. [3 ,4 ]
Koch, Matthew J. [3 ,5 ]
Shin, John H. [3 ,5 ]
Frosch, Matthew P. [3 ,4 ]
Berkowitz, Aaron L. [2 ,3 ]
Dietrich, Jorg [1 ,3 ,6 ]
机构：
[1] Massachusetts Gen Hosp, Dept Neurol, Boston, MA 02114 USA
[2] Brigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
[3] Harvard Univ, Sch Med, Dept Neurol, Boston, MA 02115 USA
[4] Massachusetts Gen Hosp, Dept Pathol, Boston, MA 02114 USA
[5] Massachusetts Gen Hosp, Dept Neurosurg, Boston, MA 02114 USA
[6] Massachusetts Gen Hosp, Div Neurooncol, Boston, MA 02114 USA
来源：
JAMA NEUROLOGY | 2015年 / 72卷 / 03期
关键词：
SPINAL-CORD TUMORS; GLIOBLASTOMA-MULTIFORME; MYELITIS;
D O I：
10.1001/jamaneurol.2014.3833
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A 20-year-old man presented with 1 week of low back pain and progressive lower extremity weakness. Results of cerebrospinal fluid analysis demonstrated elevated total protein and a mildly elevated white blood cell count with lymphocytic predominance. Findings from imaging studies revealed a multifocal, heterogeneously enhancing, intramedullary lesion involving the cervicothoracic spinal cord and nodular enhancement of the cauda equina. The patient eventually underwent spinal surgery for tissue diagnosis. The differential diagnosis, pathologic findings, and diagnosis are discussed.
引用
收藏
页码：363 / 366
页数：4
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