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例 1 ,男 ,2 9岁。左下肢无力 1 0年 ,伴左上肢无力及左眼裂变小 6年 ,尿便频急 ,左枕部胀痛 2年 ,右侧肢体麻木1 0天。4年前有头部外伤致脑震荡史。伤后左侧上下肢无力明显加重。查体 :Bp1 4 /1 0 k Pa,语言正常。左霍纳征 ( +)。咽感觉减退 ,咽反射 ( -)。左上下肢轻度萎缩。
Example 1, male, 29 years old. Left lower extremity weakness 10 years, with left upper limb weakness and left fissure 6 years, urinary urgency, left occipital pain 2 years, 10 days numbness on the right limb. 4 years ago head trauma caused by concussion history. After the injury on the left upper limb weakness was significantly increased. Physical examination: Bp1 4/1 0 k Pa, the language is normal. Left Horner sign (+). Pharyngeal sensation decreased, pharyngeal reflex (-). Left upper limb mild atrophy.