试题与答案

男性患者,62岁,因四肢麻木伴双下肢无力逐渐加重1年入住康复科,自觉小腿有捆绑感,行

题型:单项选择题

题目:

男性患者,62岁,因四肢麻木伴双下肢无力逐渐加重1年入住康复科,自觉小腿有捆绑感,行走不稳,有时不成直线,洗脚时对冷热水不敏感,入院体检:神志清醒,对答切题,颈部僵硬,颈椎活动受限,快速屈颈时出现四肢“触电”样感,双上肢肱二头肌反射活跃,双侧Hoffmann征(+),双下肢肌张力稍增高,膝反射亢进,下肢温度觉减退。入院前颅脑MRI检查未见异常。

对该患者进一步明确诊断最有价值的检查是

A.颈椎X线检查

B.颈椎CT

C.肌电图

D.体感诱发电位

E.颈椎MRI

F.TCD

答案:

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