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亚急性联合变性是周围神经、脊髓侧索锥体束和后索的变性疾病,临床上比较少见。本文报告3例亚急性联合变性症,结合文献进行分析讨论。例1.男、50岁,以双下肢运动不灵三个月、小便淋漓为主诉而就诊。查体:神清、语明、头有细震颤,颅神经正常,双下肢痉挛性瘫痪,闭眼不能走路,走路步态不稳,双下肢位置觉消失,音叉震动觉减弱,触觉迟纯。双下肢腱反射亢进,双侧
Subacute combined degeneration is a peripheral nerve, spinal cord pyramidal tract and posterior degeneration of the disease, is relatively rare in clinical practice. This article reports 3 cases of subacute combined degeneration, combined with the literature for analysis and discussion. Example 1. Male, 50 years old, in order to lower extremity movement is not working for three months, urinate dripping chief complaint and treatment. Physical examination: clear, clear head, fine tremor, normal cranial nerves, both lower extremity spastic paralysis, closed eyes can not walk, walking gait instability, loss of position of both lower extremities, vibration tuning fork feel weakened, tactile purity. Double lower extremity tendon hyperreflexia, bilateral