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患者,男,54岁。四年前逐渐出现右上下肢发麻、乏力,时有颈痛,约5个月后,在感冒后症状加重,发展至跛行。在某地住院,腰穿阻塞试验示椎管通畅,脑脊液细胞3个,蛋白质0.6g/L,糖和氯化物正常。颅脑CT检查无异常发现。经抗炎治疗,3周后明显好转,能继续日常工作。其后3年内,有3次因感冒或过劳,而重新重现上述症状,经过抗炎和肾上腺皮质激素等治疗4～6周,逐渐改善,但遗留
Patient, male, 54 years old. Four years ago, the upper right and lower extremities gradually developed numbness, fatigue and sometimes neck pain. After about 5 months, the symptoms were aggravated and developed to limpness after a cold. In a hospital, waist wear obstruction test showed spinal canal, cerebrospinal fluid cells 3, protein 0.6g / L, normal sugar and chloride. No abnormal brain CT examination found. After anti-inflammatory treatment, 3 weeks after the marked improvement, to continue their daily work. In the next 3 years, 3 times due to flu or fatigue, and to reproduce the symptoms, after anti-inflammatory and adrenal cortex hormones and other treatment for 4 to 6 weeks, gradually improved, but left