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11岁女孩,以双下肢瘫痪60余天,大小便失禁月余为主诉入院。伴腰背剧痛及视物不清。查体:平剑突以下痛温觉缺失,双下肢肌力Ⅰ级,腹壁反射及膝腱反射消失。脑脊液蛋白(++),奎克试验无梗阻,按“视神经脊髓炎”给激素及对症处理,2周后视力好转,痛温觉恢复至两膝水平,大小便能控制。复查脑脊液淡黄,蛋白(+++),细胞数58个/mm~3,50天后又出现大小便失禁,巴氏征及踝阵挛(+),奎克试验示梗阻现象,椎管内逆行造影于12胸椎处通过缓慢,待造影剂完全通过后,改变体位则不能
11-year-old girl, paralyzed both lower limbs more than 60 days, incontinence month mainly for admission. With back pain and blurred vision. Examination: Ping Pong sudden loss of pain, temperature, lower limb muscle strength Ⅰ, abdominal reflex and knee tendon reflex disappeared. Cerebrospinal fluid protein (++), Quaker test without obstruction, according to “optic neuromyelitis” to hormones and symptomatic treatment, 2 weeks after the visual acuity improved, pain and temperature recovery to the level of both knees, urine can control. Review of cerebrospinal fluid pale yellow, protein (+++), the number of cells 58 / mm ~ 3,50 days after incontinence, Pakistan’s symptoms and ankle clonus (+), Quaker test showed obstruction, intraspinal Retrograde angiography through the thoracic at 12 slowly, to be completely passed the contrast agent, the position can not be changed