患者,男,32岁。因四肢麻木、发凉、无力伴行走困难2个月加重1个月于1993年2月10日入院。该患病前无感染病史。原发性癫痫病史5年,近8个月发作1次后一直口服卡马西平,每日剂量600mg左右。近2个月起出现四肢麻木、发凉、无力伴行走困难,近1个月双手握持功能差,手肌萎缩并出现双臂内侧及两侧腓肠肌发作性剧痛,每次持续约10分钟左右。曾在当地口服中药及针灸治疗无效,来我院住院。查体:颅神经未见异常。双手骨间肌萎缩,双上肢自掌指关节以下及双下肢膝关节以下痛觉减退,四肢末端深 Patient, male, 32 years old. Numbness due to limbs, cold, weakness with difficulty in walking 2 months to increase one month in February 10, 1993 admission. The prevalence of infection without a history. Primary epilepsy history of 5 years, nearly 8 months after the onset of 1 has been oral carbamazepine, a daily dose of about 600mg. In the past 2 months, numbness of the limbs, cold and weakness accompanied by difficulty in walking, hand holding function in the past month was poor, hand muscle atrophy and appearing inside both arms and gastrocnemius on both sides of the onset of severe pain, each lasting about 10 minutes about. Once in the local oral Chinese medicine and acupuncture treatment is invalid, to our hospital. Examination: No abnormal cranial nerve. Hands atrophy, atrophy of both upper and lower extremities below the metacarpophalangeal joints pain, lower extremities deep