患者男性,48岁。主因双下肢无力4天,伴双上肢无力1d,于2003年8月30日入院。患者于4d前去外地旅游,每日坐车及行走约8h,3d后出现双下肢无力,上楼困难,渐发展至不能下蹲、起立及起床。1d前出现双上肢无力,不能抬臂;不伴肢体疼痛及麻木,无言语障碍,无胸闷、胸痛、头痛、头晕、颈项痛及呼吸困难,无发热及腹泻。 Male patient, 48 years old. Mainly due to weakness in both lower extremities 4 days, with weak upper extremities 1d, on August 30, 2003 admission. The patients traveled to the area 4 days ago to travel and walk for about 8 hours daily. After 3 days, their lower extremities became weak and they were unable to squat, stand up and get up. 1d before the emergence of upper extremity weakness, can not lift the arm; without limb pain and numbness, speechless disorder, no chest tightness, chest pain, headache, dizziness, neck pain and breathing difficulties, no fever and diarrhea.