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患儿男,10岁。因背部疼痛1个月,四肢无力伴感觉异常1天就诊。患儿1个月前无明显诱因出现背部疼痛,呈阵发性,未给予处理;1天前出现行走时易跌倒,伴双下肢麻木;半天前双下肢无力加重,不能活动,伴双上肢无力,及脐周、腰背部阵发性刺痛,不能忍受。体检:患儿精神状态欠佳,饮食睡眠差。双上肢肌力Ⅳ级,双下肢肌力Ⅰ级,肌张力正常,脐以下平面感觉丧失,脐以上感觉过敏,左侧踝阵挛阳
Children male, 10 years old. 1 month due to back pain, limb weakness with sensory abnormality 1 day treatment. Children with no obvious incentive to have back pain 1 month ago, paroxysmal, did not give treatment; 1 day ago prone to fall when walking, accompanied by lower extremity numbness; a half days ago, both lower extremities weakness, can not move, with double upper extremity weakness , And umbilical weeks, back and back paroxysmal tingling, can not stand. Physical examination: children with poor mental state, poor diet and sleep. Double upper limb muscle strength Ⅳ, double lower limb muscle strength Ⅰ, normal muscle tone, umbilicus below the flat feeling of loss, above the navel hyperalgesia, left ankle clonus Yang