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已知传染性单核细胞增多症(IM)可并发脑膜脑炎,Bell氏瘫,横贯性脊髓炎和Guillan——Barre’氏综合征.近年来对有这些神经症状的病人进行了EB病毒(EBV)的血清学研究,但尚无血清学证实的IM并发急性小脑性共济失调的报告.作者报告一例如下:患儿7岁,女,因进行性笨拙和共济失调4周入院.在发生步行困难前几天曾诉头痛、恶心和呕吐.无咽喉炎,发热和皮疹.入院前仅服用阿斯匹林.体检发现:两侧耳后淋巴结稍大,共济失调和精细运动协调障碍,腱反射对称性减退,两侧辨距不良,指鼻试验和跟膝胫试验不协调,躯干不稳,蹒跚步态,各肢体均不能做快速轮替运动.其余检查正常.生化检查:马红细胞差异性吸收后的
Infectious mononucleosis (IM) is known to be associated with meningoencephalitis, Bell’s paralysis, transverse myelitis and Guillan-Barre’s syndrome. In recent years, patients with these neurological symptoms have been treated with Epstein-Barr virus EBV), but no serologically confirmed IM complicated with acute cerebellar ataxia.A case report is as follows: Children 7 years old, female, due to progressive clumsiness and ataxia 4 weeks hospitalization in A few days before the onset of walking complained of headache, nausea and vomiting. No pharyngitis, fever and rash. Before admission, aspirin only. Physical examination found: both ears posterior lymph nodes slightly larger, ataxia and fine motor coordination disorders, Tendon reflex symmetry diminished on both sides of the poor, finger nasal test and knee shin test uncoordinated, unsteady trunk, staggering gait, the limbs can not do rapid rotation exercise. The remaining checks were normal. Biochemical tests: horse red blood cells Differentially absorbed