初某某,男,50岁。1983年11月份感头迷头胀走路欠稳,身体偏向右侧,有时跌倒。84年初,双眼视物略感不清偶有复视。7月份出现尿频尿急,尿量及饮水量增多,每天小便15次以上。无食欲亢行和消瘦。85年2月份来诊检时发现双眼球上下运动障碍,于2月25日入院。检查。心、肺、肝、脾无异常,意识清楚,表情呆板呈面具脸,右眼视物略模糊,双眼瞬目及眼球主动运动减少。双眼球上下活动受限,尤以下视障碍明显。向上活动时出现一过性复视而无眼震。颈强不显但活动不灵活。四肢肌力、肌张力正常,走路不稳、无肌萎缩。双Rossolimo(+),双掌颏反射(+),双咽反射(+),脑电图示广泛轻度异常。颅骨正面像未见异常。脑脊江压力150mmH_2O,糖72mg％等生化及常规均正常。CT扫描:颅骨结构正常,双 The beginning of a certain, male, 50 years old. In November 1983, the perplexed head and shoulders were not stable and the body was on the right and sometimes fell. Early 84, binocular vision slightly indefinable occasional diplopia. Urine urinary urgency occurred in July, increased urine output and drinking water more than 15 times a day urine. No appetite hyperthyroidism and weight loss. 85 years in February when the examination revealed double eyeball movement disorders, admitted on February 25. an examination. Heart, lung, liver, spleen without exception, clear consciousness, facial expression was dull face, right eye as slightly blurred vision, blinking eyes and active eye movement decreased. Up and down the eyes of the upper and lower activities are limited, especially as apparent obstacles. A transient diplopia without nystagmus appears when going up. Neck strong but activity is not flexible. Limb muscle strength, muscle tone normal, walking instability, muscle atrophy. Dual Rossolimo (+), bimax reflex (+), pharyngeal reflex (+), EEG showed extensive mild abnormalities. Positive skull no abnormalities. Cerebrospinal fluid pressure 150mmH_2O, 72mg sugar and other biochemical and routine are normal. CT scan: normal skull structure, double