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患者 男,35岁。主因反复右侧肢体乏力、麻木8年,加重伴肢体功能障碍1天。于1998年11月30日入院。患者8年前间断右侧肢体乏力、麻木。时而发作,时而缓解,缓解时无任何症状,未引起本人注意。入院前一天因劳累自觉右侧肢体麻木、无力,不能行走,右手持物失落。去省第五人民医院就诊,查头部CT提示左基底节微梗塞,给予20％甘露醇、脉络宁静滴一次,第二天转至我院。入院体检:体温36.2℃,脉搏82次/分,呼吸18次/分,血压130/100mmHg(1mmHg=0.133kPa),心、肺、腹未见异常,神清语利,颈软,瞳孔正大等圆,对光反射灵敏,颅神经未见异常,四肢肌张力正常,右侧上、下肢肌力Ⅳ级,深浅感觉无异常,肱二、三头肌及膝腱反射正常,双侧巴氏征阴性,克氏
Patient male, 35 years old. Mainly due to repeated right limb weakness, numbness for 8 years, aggravated with limb dysfunction 1 day. On November 30, 1998 admitted. 8 years ago, patients with intermittent right limb weakness, numbness. Sometimes attack, sometimes relieve, relieved without any symptoms, did not cause my attention. On the day before admission, he felt numb, physically weak, unable to walk on the right side of the body due to tiredness, and the right hand object was lost. Go to the Fifth People’s Hospital of the province for treatment, check the head CT tips left basal ganglia infarction, given 20% mannitol, venous tranquility once, the next day to our hospital. Admission physical examination: body temperature 36.2 ℃, pulse 82 beats / min, breathing 18 beats / min, blood pressure 130 / 100mmHg (1mmHg = 0.133kPa), heart, lungs, abdomen no exception, Round, sensitive to light reflex, no abnormal cranial nerves, normal limb muscle tension, right upper and lower limb muscle strength grade Ⅳ, no abnormality in the depth of sensation, brachial, triceps and knee tendon reflexes normal, bilateral Pakistan’s sign Negative, Kirschner