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病历摘要: 患者男性,62岁,1983年1月因头痛、重感伴恶心、面部发麻、右半肢体麻木、走路不稳、吐字不清入院。体检:血压126/86mmHg,神清合作,瞳孔等大正圆,光反射正常,伸舌偏左,左侧中枢性面瘫,右侧上下肢肌力Ⅲ°,双膝反射亢进,病理征阳性。20天后周身无力,胸_2以下感觉运动障碍,嗜睡,胸闷,多汗,呼吸困难。耳鸣,神经性耳聋,视力减退右0.1,左0.3,复视。右上肢连及右侧面部电击样痛性强直性痉挛。四肢震颤,肌无力,共济运动障碍。
Patient Male, 62 years old, January 1983 due to headache, heavy feeling disgusting with nostrils, numbness on the face, numbness in the right half of the body, walking unsteady, and unclear admission. Physical examination: blood pressure 126 / 86mmHg, Shenqing cooperation, pupil dazhengyuan, normal light reflex, left side of the tongue, the left side of the central paralysis, right upper and lower limb muscle strength Ⅲ °, knee hyperreflexia, positive pathological signs. 20 days after the whole body weakness, chest _2 following sensory dyskinesia, drowsiness, chest tightness, sweating, difficulty breathing. Tinnitus, neurological deafness, visual acuity right 0.1, left 0.3, diplopia. Right upper extremity and right facial shock-like painful tonic spasms. Tremorous limbs, muscle weakness, ataxia disorders.