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患者男,18岁,入院前10d无明显诱因突感右肩疼痛,数小时后右上肢发麻、无力、小腹以下两下肢发麻、无力、排尿困难。输液治疗3d后(药名不详)症状明显减轻,疼痛、发麻、排尿障碍消失。数日后又突发出现上述症状而入院。入院时查体:颅神经阴性,双手掌间肌轻度肌萎缩,双T_7以下深浅感觉减退,四肢肌力5,病理征阳性,共济好,尿潴留。入院后作了2次腰穿,奎肯试验示椎管通畅,脑脊液化验正常,头颅CT正常。诊为多发性硬化——脊髓型。
Male patient, 18 years old, 10d before admission, no obvious incentive to sudden sensation of right shoulder pain, a few hours after the upper limb numbness, weakness, lower abdomen below the two lower limbs numbness, weakness, dysuria. Infusion therapy after 3d (unknown drug name) significantly reduced symptoms, pain, numbness, voiding disorders disappear. A few days later the sudden emergence of the above symptoms and admission. Admission examination: cranial nerves, palmar muscle mild muscular atrophy, double T_7 the following sense of diminished strength, limb muscle strength 5, positive pathological signs, good aid, urinary retention. 2 times after admission to wear lumbar puncture, Kui Ken test showed spinal canal patency, normal cerebrospinal fluid, head CT normal. The diagnosis of multiple sclerosis - spinal cord type.