神经系统病变的定位定性诊断（Localization and qualitative diagnosis of nervous system diseases）.docVIP

神经系统病变的定位定性诊断（Localization and qualitative diagnosis of nervous system diseases） 1. bilateral paracentral lobe lesions: motor neuron paralysis of lower limbs, but mostly flaccid, have lower limbs motor seizures, and loss of inhibitory type high tension bladder dysfunction. It is seen in this site, occupying lesions and superior sagittal sinus lesions. 2. spinal cord disease: (1) transverse injury of spinal cord injury: flat muscle due to damaged, showing lower motor neuron paralysis, damage below the level of a limb due to damaged corticospinal tract, presentation of motor neuron paralysis (spinal shock period of flaccid paralysis); damage below the level of all depth hypoesthesia; disturbance of sphincter due to spinal cord injury level vary, the sacral lesions above the acute shock stage for atonic bladder, but after a period of shock, such as recovery of bladder reflex arc function, can be gradually transformed into the bladder reflex, in addition there is sweat, damage below the surface of the skin nutrition and vasomotor disorders. It is common in spinal cord compression, acute myelitis and spinal cord injury. The thoracic and lumbar segment damage are as follows: thoracic (thoracic 2-12): a lower limbs motor nerve paralysis, all lesions below the level of the loss of sensation, defecation and urination disorders, impaired torso myelomere control often radicular pain or zonesthesia. Lumbar enlargement (lumbar spinal cord, 1- sacral spinal cord 2): both lower limbs show lower motor neuron paralysis, lower limbs and perineum all feel loss, defecation disorder, accompanied by lower back or (or) lower limb nerve root pain. (2) other lesion of spinal cord: On both sides of the lumbar enlargement of the spinal cord anterior horn damage: double limb lower motor neuron paralysis without sensation and sphincter dysfunction, occasionally in anterior poliomyelitis Injury of lateral cord of thoracic cord: upper motor neuron paralysis of the lower extremities without other