以截瘫为主要临床表现的脑、脊髓、肺多发性结核病在临床上较为罕见，我科收治１例，总结如下。１　病历简介 患者，男，２４岁，主因双下肢无力１个月于１９９８年６月入院。入院前１个月无明显诱因出现左下肢无力未引起注意，渐波及右下肢，且进行性加重，至入院时双下肢不能 Paraplegia as the main clinical manifestations of brain, spinal cord, lung multiple tuberculosis is relatively rare in clinical practice, our department admitted 1 case, summarized as follows. A medical history Brief introduction Patient, male, 24 years old, mainly due to weakness of the lower extremities 1 month in June 1998 admitted. One month before admission no obvious incentive to appear left lower extremity weakness did not pay attention, ascending wave and right lower extremity, and progressive increase to admission to lower extremity can not