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男,6岁。因进行性多发性单神经损害8个月于87年5月8日入院。 无诱因起病,外周神经受累随病程增加:右周围性而瘫→左听力下降→右下肢无力(跛行)→左周围性面瘫→右听力下降→大小便不全潴留→语言含糊、饮水反呛、强迫头位及低热。两次腰穿、内听道摄片及三次头颅(CT扫描均无异常发现。先后按“面神经炎”、“多发性单神经炎”、“脑脊髓膜炎”给予激素、B族维生素及抗痨等治疗无效后收入我科。 体查:体温37.8℃,体征正常。强迫头位(后仰)。
Male, 6 years old. Due to progressive multiple single nerve damage 8 months on May 8, 1987 admission. No inducing onset, peripheral nerve involvement with the course of the increase: the right peripheral and paralysis → left hearing loss → weakness of the right lower limb (limp) → left peripheral facial paralysis → right hearing loss → incomplete defecation → vague language, drinking choking, Forced head position and low heat. Two lumbar puncture, internal auditory radiography and three head skull (CT scan showed no abnormalities .According to “facial neuritis”, “multiple mononeuritis”, “meningitis” give hormones, B vitamins and anti痨 and other treatment income ineffective after my department. Physical examination: body temperature 37.8 ℃, signs of normal. Forced head position (backwards).