1临床资料患者,男,23岁。因胸背部疼痛20 d,双下肢瘫痪1 d入院。既往患结核性脑膜炎在神经内科应用异烟肼、利福平、乙胺丁醇治疗3个月。入院体格检查示:生命体征平稳,发育正常,营养中等,全身浅表淋巴结未触及,颈软,心脏、双肺听诊未闻及异常,肝脏、脾脏肋下未触及。颅神经检查正常,双上肢肌力Ⅴ级,肌张力 1 clinical data patients, male, 23 years old. Due to chest and back pain 20 d, paralysis of both lower extremities 1 d admission. Previously suffering from tuberculous meningitis in the Department of Neurology, isoniazid, rifampicin, ethambutol treatment for 3 months. Admission physical examination showed: stable vital signs, normal development, moderate nutrition, systemic superficial lymph nodes not touched, neck soft, heart, lung auscultation unheard of and anomalies, liver, spleen ribs did not touch. Cranial nerve examination was normal, upper limb muscle strength Ⅴ level, muscle tone