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1病例患者,男,34岁,因“左侧肢体麻木10 h”入院。现病史:患者于2016年9月28日无明显诱因出现左侧肢体麻木无力,伴吞咽困难,在当地予长春西汀针、丹参川芎针治疗,症状无好转,遂至本院就诊。入院查体:神清,双瞳(-),左侧鼻唇沟浅,左侧肢体肌力5-级,左侧浅感觉减退,克氏征、巴士征阴性。洼田饮水试验4级。头部DWI示脑干新鲜梗死(图1),MRA示双侧颈内动脉、椎动脉对称性瘤样扩张,颅内动脉多处血管粗细不均,提示川崎病。EB病毒送检示EBV-NA IgG阳性,EBV-CA IgG阳性,EBV-CA IgM阳性,EA-
A case of patients, male, 34 years old, due to “left limb numbness 10 h ” admission. Current history: patients on September 28, 2016 no obvious incentive left numbness limb weakness, with swallowing difficulties in the local vinpocetine needle, Salvia Chuanxiong needle treatment, the symptoms did not improve, then to our hospital. Admission examination: Shen Qing, double pupil (-), the left nasolabial fold shallow, left limb muscle strength 5, shallow left sensory decline, Kirschner sign, bus sign negative. Kawada drinking water test level 4. Head DWI showed fresh brainstem infarction (Figure 1), MRA showed bilateral internal carotid artery, vertebral artery symmetrical tumor-like expansion, intracranial artery vascular thickness uneven, suggesting Kawasaki disease. EBV-positive for EBV-NA IgG, EBV-CA IgG positive, EBV-CA IgM positive, EA-