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患者,男16岁,学生。因兴奋燥动、错觉3天,左下肢无力1天就诊。患者40天前肌注乙肝疫苗30ug,4天前再次肌注乙肝疫苗10ug作为增强注射,患者近期未患上呼吸道感染和其它疾病,既往体健。体检:体温正常,定向力、计算力正常,颅神经检查正常。两上肢、右下肢肌力正常,左下肢轻瘫试验阳性,左巴氏征阳性。脑脊液检查:蛋白0.5g/L细胞数12×10~6/L脑电图:右额前—右颞导联,左额前—左颞导联出现少量至中等量θ波和δ波。头颅CT:右额叶皮质下、左右颞叶皮
Patient, male, 16 years old, student. Due to excitement, illusion 3 days, left lower limb weakness 1 day treatment. Patients with intramuscular injection of hepatitis B vaccine 30ug 40 days ago, 4 days before the intramuscular injection of hepatitis B vaccine 10ug as an enhanced injection, the patient has not recently suffered from respiratory infections and other diseases, previous physical health. Physical examination: normal body temperature, orientation, calculation of normal, normal cranial nerve examination. Two upper limbs, right lower extremity muscle strength, left lower extremity paralysis test was positive, positive sign of left lupus. Cerebrospinal fluid examination: protein 0.5g / L cells 12 × 10 ~ 6 / L EEG: right front anterior - right temporal lead, left front anterior - left leads a small amount to a moderate amount of θ and δ wave. Head CT: right frontal cortex, left and right temporal skin