患者,男性,35岁,因反复腰部及双下肢疼痛9年,复视4个月入院。自述于9年前出现腰部及双下肢疼痛,呈阵发性,以右侧较甚,近4个月出现视物重影,近1个月下肢疼痛加剧入院。检查:神清,双侧外展活动轻度受限,复视(+),双侧视乳头边界模糊,生理凹陷消失,左侧视网膜可见片状出血斑,右下肢 The patient, male, 35 years old, was hospitalized for 4 months after repeated pain in the lower back and lower limbs for 9 years. The self-reported pain in the lower back and lower extremities 9 years ago was paroxysmal. The right side was even worse. In the past 4 months, visual ghosting occurred. In the last month, lower limb pain worsened hospitalization. Examination: Shen Qing, mild bilateral limitation of bilateral abduction, diplopia (+), blurred bilateral borders of the optic nerve, disappearance of physiological depression, flaky hemorrhage spot on the left retina, right lower limb