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患者 女性,18岁,因双下肢渐进性麻木无力伴大小便障碍1年余入院。患者于1990年底觉左下腹搔痒,左下肢麻木,走路易掉鞋,经用地巴唑后好转;1991年7月左下肢又出现麻木,一周后自行缓解;同年9月左下肢麻木伴无力明显,且右下肢亦觉无力,行走要扶持,当地医院诊断不明,用激素治疗有所缓解。11月双下肢无力加重,且件大小便困难在当地住院。腰穿脑脊液未发现异常,椎管碘油造影无梗阻,视诱发电位双P_(100)潜伏期延长,病初主诉有一过性视蒙,拟多发性硬化再以激
Patient Female, 18 years old, admitted to hospital due to progressive lower limb numbness with urinary incontinence more than one year. The patient felt left lower extremity itch at the end of 1990, left lower extremity numbness, easy to walk shoes, after the use of barazole improved; July 1991 left leg appears numbness, relieve itself a week later; the same year in September left lower limb numbness with weakness, And right lower limb also feel weakness, walking to support, the local hospital diagnosis is unknown, with hormone therapy eased. November weakness in both lower extremities, and pieces of urine in the local hospital. Lumbar puncture did not find abnormal cerebrospinal fluid, vertebral lipiodol angiography without obstruction, depending on the evoked potentials double P_ (100) latency extended, the main complaint of the disease had a transient visual Mongolian, and then to multiple sclerosis and excitement