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患者男,21岁,因活动中突发腰痛半天于1998年12月13日来我院就诊。查体:血压18/10kPa,脉搏68次/分,心肺腹体征无异常。神经系统检查:言语流利,颅神经无异常。四肢肌力Ⅴ级,无不自主运动,肌腱反射对称++,双巴氏征(-),颈软,布氏征(-),克氏征(-)。考虑“腰椎间盘病变”转外科,腰椎CT 未见异常,患者步行回家。当晚平卧休息2小时后,突然出现剧烈头痛,右枕部明显,伴腰痛向双下肢放射。遂于1998年
Patient male, 21 years old, came to our hospital on December 13, 1998 because of a sudden onset of back pain during the activity. Physical examination: blood pressure 18 / 10kPa, pulse 68 beats / min, no abnormal cardiopulmonary and abdominal signs. Nervous system examination: fluent speech, cranial nerves without exception. Limb muscle strength Ⅴ level, all involuntary movements, tendon reflex symmetry + +, double Pakistan’s sign (-), neck soft, Bu’s sign (-), Kirschner sign (-). Consider “lumbar disc disease ” transfer surgery, lumbar CT no abnormalities, patients walk home. Two hours after the rest of that evening supine, a sudden severe headache, right occiput obvious, with low back pain to lower extremity radiation. Then in 1998