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患者,女,25岁。停经半年后复潮,持续20余天,伴双下肢无力,行走困难。1个月后阵发头晕、头胀痛伴左耳鸣,下肢无力加重。入院前1周出现视物模糊。病后无骨痛、发热、盗汗等。否认药物过敏及毒物接触史。16岁初潮,7天/50～60天。体查:全身皮肤较粗糙、多毛、色素较深。颈强直征(±)。双下肢肌力Ⅱ～Ⅲ°,双足不能背屈。双膝、跟腱反射未引出,病理征阴性。双掌指关节及双踝上二指以下触觉减退。双侧视乳头水肿。余无异常体征。实验室检查:血红蛋白134g/L,白细胞10.3×10~9/L,血小板220×10~9/L,尿蛋白(±),本-周蛋白(-)。GPT、TTT、ZnTT、BUN、Cr、
Patient, female, 25 years old. Menopause after six months of re-tide, lasted more than 20 days, with both lower extremities weakness, walking difficulties. 1 month after the onset of dizziness, head pain and left tinnitus, lower limb weakness worse. One week before admission, blurred vision appears. After the disease without bone pain, fever, night sweats and so on. Denied drug allergies and toxic contact history. 16-year-old menarche, 7 days / 50 to 60 days. Physical examination: systemic skin is rough, hairy, darker pigmentation. Neck stricture (±). Lower limb muscle strength Ⅱ ~ Ⅲ °, both feet can not dorsiflexion. Knees, Achilles tendon reflex did not lead to negative pathology signs. Double finger knuckles and two ankles on the second finger following haptic decline. Bilateral papilledema. I no abnormal signs. Laboratory tests: hemoglobin 134g / L, leukocytes 10.3 × 10 ~ 9 / L, platelets 220 × 10 ~ 9 / L, urinary protein (±), the - week protein (-). GPT, TTT, ZnTT, BUN, Cr,