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患者女,10岁,辽宁籍人。因颈部、躯干、四肢不自主痉挛、扭转5年入院。患者4岁时因食霉变甘蔗后出现高热、呕吐、抽搐、意识不清,经当地医院腰穿检查除外脑炎及流脑,高热数天后病情逐渐缓解。但出现构音障碍,四肢呈迟缓性瘫痪。数月后出现颈部、躯干及四肢不自主屈曲、伸直状态。自主运动或精神紧张时加重,睡眠时消失。查体:患者发育正常,营养差,神志清;颅神经未见异常;心肺正常;肝脾未触及;四肢肌力正常,肌张力增强;颈部、躯
Female patient, 10 years old, Liaoning nationality. Due to the neck, trunk, involuntary limbs spasm, reversing 5 years admission. At age 4, the patient developed fever, vomiting and convulsions after feeding moldy sugarcane, and was unconscious. The encephalitis and meningitis were excluded from the lumbar puncture at the local hospital. After a few days of high fever, his condition gradually eased. However, dysarthria, limbs were delayed paralysis. A few months after the neck, torso and involuntary limbs flexion, straight state. Increased autonomy or mental stress, disappear when sleeping. Physical examination: patients with normal development, poor nutrition, clear consciousness; no abnormal cranial nerves; normal heart and lung; liver and spleen not touched; limb muscle strength, muscle tone; neck,