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患儿男,11岁11个月,因“嘴角歪斜4个月、左侧肢体活动障碍2个月伴右眼外斜1个月余”于2012年11月19日入院。患儿于2012年7月初无明显诱因出现嘴角歪斜,饮水偶有呛咳,当时未予重视。2012年9月初出现行走不稳,左侧为著,症状逐渐加重,出现左上肢麻木,左手握物不稳,饮水呛咳严重。2012年10月出现右眼外斜,右耳听力下降,跛行,小便次数增加。病程期间出现头痛、恶心、呕吐3次,当地医院输液治疗后好转(具体不详)。入院查体:意识清楚,言语流利,高级皮层功能基本正
Children 11 years of age, 11 years old, due to “mouth skewed 4 months, left limb movement disorders 2 months with right eye outside the ramp more than 1 month ” on November 19, 2012 admission. Children in early July 2012 there was no obvious incentive to mouth skew, occasional choking drink, was not taken seriously. In early September 2012, walking instability, the left side is, the symptoms gradually aggravate numbness in the left upper limb, left hand goods instability, severe water cough. Occurs in October 2012 right eye diagonal, right ear hearing loss, claudication, urination increased. Headache, nausea, vomiting during the course of the disease three times, the local hospital infusion improved after treatment (specific unknown). Admission examination: Consciousness, fluent speech, advanced cortical function is basic