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例1 女性,23岁,半年前开始感左侧头部间歇 性疼痛,与情绪、经期等因素无关。半月前左颞侧疼痛明显加剧伴左眶持续性刺痛,复视,眼睑下垂,左侧面部麻木感。曾疑为“重症肌无力”试用新期的明治疗无效。体查:血压110/70mmHg,心肺正常,肝脾未触及。神经系统检查:左眼睑明显下垂,左眼球向各向活动明显受限,但瞳孔双侧等大,对光反应存在,眼底检查无异常发现,四肢肌力、肌张力正常,
Example 1 Female, 23 years old, six months ago began to feel the left side of the head intermittent pain, and emotional, menstrual and other factors. Left half a month ago, pain was significantly increased with left temporal continuous tingling, diplopia, ptosis, left facial numbness. Had suspected “myasthenia gravis” trial of the new period of the Ming treatment is invalid. Physical examination: blood pressure 110 / 70mmHg, normal heart and lung, liver and spleen not touched. Nervous system examination: the left eyelid was significantly drooping, the left eye to the ball was significantly limited to all directions, but both sides of the pupil was large, the presence of light reaction, no abnormalities found fundus examination, muscle strength, muscle tone normal,