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例1,男,32岁.因颈部疼痛伴右侧面部麻木、肌跳,左肩疼痛无力2天,于1982年12月入院.患者二周前曾发热、咳嗽、流涕10天,诊为“感冒”。体检:神志清楚,右侧面部见肌束颤动,局部痛觉减退。张口时下颌门齿中线缝向右侧偏移0.8cm,右确咬合力差,右眼-过性复视,右侧鼻唇沟浅,右半舌前2/3味觉减退,余颅神经正常。左臂外展及上举受限,肌肉轻度萎缩,左上肢肌力4°,肌张力及腱反射减低,右上肢及双下肢正常.颈软,C4~T2脊突压
Example 1, male, aged 32. Due to neck pain with numbness on the right side, muscle weakness, left shoulder pain weakness for 2 days and was admitted to hospital in December 1982. The patient had fever, cough and runny nose for 10 days two weeks before his diagnosis “cold”. Physical examination: Consciousness, the right side of the facial fascicle seen fibrillation, local pain decreased. The mouth of the mandibular incision in the mouth to the right shift of 0.8cm, the right bite force difference, right eye - too complicated diplopia, right nasolabial fold shallow, right half of the tongue 2/3 taste diminished, the cranial nerves normal. Left arm extensor and upper limit is limited, muscular mild atrophy, left upper limb muscle strength 4 °, muscle tension and tendon reflexes reduced, right upper limb and lower extremity normal.