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病例摘要患者男,14岁,学生。1984年10月13日突起头痛,头昏、呕吐,26日突然双目失明,大小便失禁,次日右侧肢体及左下肢麻木,双下肢瘫痪,无发热及头部外伤。经当地医院用肾上腺皮质激素及脱水治疗,病情无好转而转来我院。检查:神志清晰,双目光感消失,右眼睑下垂,右眼球固定,左眼外展受限。瞳孔右6mm、左4mm,对光反应消失,双侧视神经乳头颞侧稍苍白。右上下肢肌力0级,左上下肢肌力3级,四肢
Case Summary Male patient, 14 years old, student. October 13, 1984 sudden headache, dizziness, vomiting, blind suddenly on the 26th, incontinence, the next day the right limb and left leg numbness, paralysis of both lower extremities, no fever and head trauma. The local hospital with adrenal cortex hormones and dehydration treatment, no improvement in condition and transferred to our hospital. Check: Consciousness, binocular light disappeared, right eyelid ptosis, right eye fixed, restricted left eye abduction. Pupil right 6mm, left 4mm, the reaction disappeared, the bilateral optic nerve head temporal slightly pale. Right upper extremity muscle strength 0, left upper limb muscle strength 3, limbs