The lower limb fatigue was originally a tumor in the lumbar spinal canal

One day, Mr. Han, 52, came from the clinic. He said that his limbs were numb and weak in the past few months, and it was a bit difficult to urinate. I suspected that the spinal cord had a long tumor at the time. problem found.

Magnetic resonance prompts lumbar spinal canal inner cystic lesion, compressing nerves

Then I decided to remove the tumor under the microscope

During the operation, the electro -physiological monitoring, carefully separated the tumor from the nerves, and the electro -detection of the nerve was not damaged. Normal after surgery, the urine gradually returned to normal.

Zhao Dongsheng, director of neurosurgery of Xi'an Red Club Hospital, Popular Popularity: Neurotrophic tumor originated from the back of the back spinal nerve, and it can also produce soft film infiltration when it grows to the heart. Acrum or waist cluster nerve fibroma can infringe and grow along multiple nerve roots towards the central duct. On the contrary, when the spinal tumor is expanded in the spinal canal, it is usually outside the duct. About 2.5%of the intraperitoneal spinal tumor is malignant, and these conditions occur at least half of the patients with multiple nerve fibroma.

The most common symptoms of the first symptoms are nerve root pain, followed by sensory abnormalities and dysfunction.上颈段肿瘤的疼痛主要在颈项部，偶向肩部及上臂放射;颈胸段的肿瘤疼痛多位于颈后或上背部，并向一侧或双侧肩部、上肢及胸部放射;上胸The tumor in the paragraph often manifested as back pain and radiates to the shoulder or chest; the pain of the tumor of the chest segment is mostly located in the chest and waist, which can be radiated to the abdomen, groin and lower limbs. The pain of the chest and waist tumor is located on the waist, which can be radiated to the groin, arm, thighs and calves. The pain of lumbosacral tumors is located in the lumbosacral region, hips, perineum and lower limbs.

20%of those who feel abnormal as the starting symptoms, which can be divided into two types: allergies and decline. The former manifested as ant line feel, numbness, cold, soreness, and burning; the latter mostly a combination of pain, warmth and tactile sensation.

Motor disorders are the third place with the first symptoms. Due to the different parts of the tumor, motion dysfunction can cause nerve root or beam damage. As the symptoms progresses, the dysfunction of the cone can occur, so the range and degree of paralysis can be different.

The main clinical symptoms and signs of spinal nerve tumor are pain, sensory abnormalities, motor disorders and sphincter dysfunction. The incidence of abnormalities is about 85%, and the incidence of pain is nearly 80%.

Feeling disorders generally start from the distal end and gradually develop upward. The patient's early subjective feel is abnormal. Instead of inspection, there is no special discovery. After that, the feeling of feeling decreases, and all feelings are lost together with the motion function. There is no spinal cord in the cone ponytail, so it feels abnormal to distribute peripheral neuroma. Typical is that the anal and perineal skin appear numb in the saddle area.

Most patients have different degrees of action when they come to the hospital, and half of the patients have paralysis of limbs. The time of discovery of motor disorders varies from tumor parts. Tumors at the tumor at the tumor at the tumor will only occur in the late stage, and the chest band tumors have symptoms earlier.

Including muscle dysfunction is often advanced symptoms, indicating that the spinal cord may be completely compressed.

There are obvious nerve root pain, exercise and sensory disorders develop from the bottom up. There is a skin allergic area in the tumor segment level, especially the spinal cord semi -cut syndrome, which is manifested as below the lesion segment. Sport paralysis and loss of sensory and deep sensation, pain, loss of warmth, and changes in me cerebrospinal fluid dynamic dynamics often cause pain to increase pain. Essence Once the diagnosis is confirmed, surgical resection can be used for rehabilitation treatment after surgery, and most of them can return to normal life.

Director Zhao Dongsheng is the former neurosurgeon of Xijing Hospital, and is currently the deputy director of the functional neurosurgery of Xi'an Red Club Hospital

Outpatient time: Room 310, 310 of the 3st Floor Clinic on Thursday Clinic on Thursday Clinic

Research areas: coma patients are awake, cerebral stem bleeding, spinal cord injury paralysis, hydrocephalus, brain tumor, spinal cord tumor, spinal cord tie, spinal bullets, spinal cord empty, epilepsy, cerebral palsy, lower cerebral tonsils, lower anechetal deformities under the tonsils, lower cerebral tonsils, lower cerebral hernia deformities , Pool dysfunction, refractory nerve pain, trigeminal neuralgia, facial muscle spasm, and various neurotherapy treatment

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