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橄榄体—桥脑—小脑萎缩,其特征为小脑皮质、桥脑底部及橄榄核神经元消失,文献中经病理证实的仅44例,国内尚无报道,现报道一例如下: 周××,女,57岁,已婚,汉族,家庭妇女,于1958年3月24日首次住院。主诉两下肢逐渐乏力、行走困难2年余,近数月来发现两下肢远端发麻並有尿急。近2年来有高血压。家族无类似病史。入院检查:血压186/118mmHg,心肺无特殊,脑神经未见异常,眼底正常,两下肢肌张力低,四肢肌力减退,左手共济运动失调,步态蹒跚,Romberg征阳性,四肢腱反射活跃,双侧Chaddock征阳性。
Olivopontocerebellar - cerebellar atrophy, which is characterized by the disappearance of the cerebellar cortex, pons and olivary nuclei at the bottom of the plexus, pathologically confirmed in the literature only 44 cases, there is no report in China, is reported as follows: Zhou × ×, female , 57 years old, married, Han nationality, domestic women, were first hospitalized on March 24, 1958. The main complaint of two lower extremities gradually fatigue, walking more than 2 years, in recent months found that the distal lower limb numbness and urinary urgency. Nearly two years have high blood pressure. No similar family history. Admission examination: blood pressure 186 / 118mmHg, no special cardiopulmonary, abnormal cranial nerves, normal fundus, lower extremity muscle tone, lower extremity muscle weakness, left unilateralism dyskinesia, staggering gait, positive Romberg sign, limb tendon reflexes active Chaddock sign positive on both sides.