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患者,男,62岁。因无目地回忆原单位人名,明知不对,却无法摆脱,为此而心烦、失眠、头昏1个月。曾在本院神经科和市精神病院诊断:强追症,对症治疗无效。近半月渐进性双下肢无力,偶有语言欠流利、饮水返呛,3天来行走困难。门诊以“脑血栓形成?”收入院。不伴其他症状,即往体健。查体:Bp:19/13kPa神清合作,吐字清,对答合理。浅表淋巴不大。右鼻唇沟略浅,伸舌居中。颈软。心肺腹部未见阳性体征。右上肢肌力5级弱,右下肢肌力4级,左
Patient, male, 62 years old. Because of amending the name of the original unit nameless, knowingly wrong, but can not get rid of, for upset, insomnia, dizziness, 1 month. In our hospital neurology and psychiatric hospital diagnosis: strong chase disease, symptomatic treatment is invalid. Nearly half of progressive weakness of both lower extremities, occasional language less fluent, back to choking drinking water, 3 days to walk difficulties. Clinic to “cerebral thrombosis?” Income hospital. Not accompanied by other symptoms, that is, physical health. Examination: Bp: 19 / 13kPa Shenqing cooperation, vomit word clear, the answer is reasonable. Superficial lymphatic. Right nasolabial slightly shallow tongue, middle tongue. Neck soft. Cardiopulmonary abdominal no positive signs. Right upper limb muscle weakness 5, right lower extremity muscle strength 4, left