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作者报告1例(首例)。患者为41岁女性,于第四产正常分娩后1个月发生3次颈项强直。第一次持续2～3天后自愈;5天后第二次发作,伴有双侧肩痛,向下放射至左臂和背部,数天后自行缓解;入院前第4天第三次发作显较前加重,伴剧烈头痛,感觉障碍扩展至左臂、拇指和食指,发热达38.3℃。两次CT未见蛛网膜下出血,腰穿第4管脑脊液检查:红细胞0.12×10~(12)/L,白血球2×10~9/L,其中多核占0.76、淋巴占0.02、糖0.8mmol/L,蛋白1.28g/L,白糖5.72mmol/L。二次血管造影证实第5颈椎段
The authors report 1 case (first case). The patient, 41 years of age, developed neck stiffness three times a month after normal delivery of the fourth birth. The first episode continued for 2 to 3 days after the first episode. The second episode occurred after 5 days, accompanied by bilateral shoulder pain and downward radiation to the left arm and back, relieving itself after several days. The third attack on day 4 Before exacerbating, accompanied by severe headache, sensory disturbances extended to the left arm, thumb and index finger, fever 38.3 ℃. No subarachnoid hemorrhage was found in the two CT examinations. The fourth cerebrospinal fluid was examined by lumbar puncture. The erythrocytes were 0.12 × 10-12 / L and the white blood cells were 2 × 10-9 / L. The multi-nuclei accounted for 0.76, the lymph accounted for 0.02, the sugar 0.8mmol / L, protein 1.28g / L, sugar 5.72mmol / L. Secondary angiography confirmed the 5th cervical segment