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患者男,54岁,医师,自觉复视、头晕、行路不稳10天,于1981年4月28日第一次门诊。双眼视力1.0,复视象检查:(1)水平交叉复视;(2)向右侧物象分离大;(3)周边物象属左眼;其他检查均未见异常。同年5月30日突然感觉视物模糊,四肢发麻右眼视力0.3,左眼视力0.2,左侧视乳头色淡;双下肢肌力弱,腱反射亢进,腹壁反射消失,双侧引出霍夫曼氏征和巴彬斯基氏征。入院第三天病情加重,胸4以下感觉消失,双下肢截瘫,有病理征和二便潴留。双上肢麻木、无力。经氢考等药物治疗后,症状
Patient male, 54 years old, physician, consciously double vision, dizziness, unstable road 10 days, the first clinic on April 28, 1981. Binocular visual acuity 1.0, complex visual inspection: (1) level cross diplopia; (2) to the right large object separation; (3) peripheral objects belong to the left eye; other tests were normal. May 30 the same year suddenly felt blurred vision, limbs, right eye visual acuity of tingling 0.3, 0.2 left visual acuity, left optic disc pale; weak lower limbs, tendon hyperreflexia, abdominal reflex disappeared, both sides lead to Huff Man’s sign and Babinski’s sign. On the third day of hospitalization, the condition worsened, the feeling below the chest 4 disappeared, the paraplegia of both lower extremities was found, and the pathological signs and second retention were retained. Upper limb numbness, weakness. After the hydrogen test and other drugs, the symptoms