脑干肿瘤临床表现貌似多发性硬化,两者常可误诊,现将误诊3例报告如下。例1 患者女,27岁。3个月来出现言语不清,吞咽困难。1个月后出现四肢无力,走路不稳,排尿困难,病程中无头痛、呕吐,无意识障碍,门诊拟多发性硬化收住院。入院检查,双眼水平型眼震,双眼外展活动受限,吞咽反射迟钝,双上肢肌力Ⅳ～Ⅴ级,双下肢肌力Ⅳ级,双下肢病理症(+),醉酒步态,眼底检查正常。1周后CT扫描未见异常,视觉诱发电位(VEP)和听 The clinical manifestations of brainstem tumors seem to be multiple sclerosis, both of which can often be misdiagnosed. Three misdiagnosis cases are reported below. Example 1 Female patient, 27 years old. In 3 months, speech was unclear and dysphagia was difficult. One month later, weakness of the extremities, unstable walking, difficulty urinating, no headache, vomiting, and unconsciousness during the course of the disease. The outpatients planned to receive multiple sclerosis. Admission examination, binocular horizontal nystagmus, restricted binocular abduction, delayed swallowing, IV upper limb muscle strength IV, IV lower limb muscle strength, double lower limb pathology (+), drunk gait, fundus examination normal. After 1 week, there was no abnormal CT scan, visual evoked potential (VEP) and hearing