患者女性,41岁,于1981年11月9日入院。患者于1979年1月出现双下肢发麻、发凉及行走不便,但活动后症状减轻。1981年1月两下肢感觉减退,同年10月右手持物不灵便,作精细工作困难,同时上肢发麻,双眼视力下降。病程中情绪易激动,有失眠,头晕。1975年秋因剖腹产及1979年1月产后大出血先后输血100～600ml。体检:贫血貌,强迫体位,痉挛步态。眼底视乳头边缘清楚,色泽苍白,视力双眼0.1,颅神经无异常。两上肢肌力5级,两下肢肌力4级,腱反射亢进,双侧霍夫曼氏征阳性,双侧髌阵挛及踝阵挛阳性,双侧 The patient, female, 41 years old, was admitted on November 9, 1981. Patients in January 1979 showed double lower extremities numbness, cold and walking inconvenience, but after the event to reduce the symptoms. January 1981 both lower limbs feel diminished in the same year in October right hand holding inconvenient fine work difficult at the same time numb upper limbs, binocular vision decreased. Emotions in the course of the disease, insomnia, dizziness. The fall of 1975 due to caesarean section and January 1979 postpartum hemorrhage has transfused 100 ~ 600ml. Physical examination: anemia appearance, forced position, spastic gait. Optic papillae edge clear, pale, eyesight 0.1, no abnormal cranial nerve. Two upper limb muscle strength 5, two lower limb muscle strength 4, tendon hyperreflexia, bilateral Hoffman’s sign positive, bilateral patellar clonus and ankle clonus positive, bilateral