Zinchenko A P, Sharaia N N, Savchenko A V
Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(6):801-6.
In 124 patients with extramedullary tumors of different histological structure atypical syndromes were detected in 61% and were verified by surgical methods. The following atypical syndromes were marked: a nonconformity of the level of sensorial conductivity and the level of the tumor (19%), a dissociated type of spasticity of a cervico-thoracal localization (17%), disorder of cranial innervation (23.4%), swelling of the optic papilla (2.4%), etc. The pathogenesis of these changes was most frequently conditioned by hemo- and liquor dynamical disturbances, as well as by intoxication. Diagnostical errors related to the character of the process were seen in 18.5%, topico-diagnostical discrepance--in 19.3%.
在124例具有不同组织学结构的髓外肿瘤患者中，61%检测到非典型综合征，并通过手术方法得到证实。发现了以下非典型综合征：感觉传导水平与肿瘤水平不一致（19%）、颈胸段解离型痉挛（17%）、颅神经支配紊乱（23.4%）、视乳头水肿（2.4%）等。这些变化的发病机制最常见的是由血液和脑脊液动力学紊乱以及中毒引起的。与病程特征相关的诊断错误为18.5%，局部诊断差异为19.3%。
