一66岁之男性患者,其右胸3～4皮节处患带状疱疹,2周后发现右腿痿软难以行走,继之不能站立。随后之两周内右臂及右手亦出现无力,躯干及两下肢有感觉异常,左腿并有较为持久之麻木感。在其首现症状后6周入院治疗。此时右臂肌力4级,右腿近端4级,远端2级;右 T_4以下的轻触觉,左 T_6以下的痛觉及温度觉,两侧足趾的关节位置觉及胸骨以下的两侧振动觉均减退。有膝及踝阵挛,蹠反射呈伸性。颈、胸椎摄片示脊椎炎之改变, A 66-year-old male patient had herpes zoster at 3 to 4 dermatomes in the right chest. After 2 weeks, her right atrophy was found to be difficult to walk, followed by her inability to stand. In the following two weeks, his right arm and his right hand also showed weakness. His torso and lower extremities had abnormal sensations. His left leg had a more persistent numbness. In the first symptom after 6 weeks of admission to treatment. At this point right arm muscle strength 4, right leg proximal 4, distal 2; right below T_4 touch, left below the pain and temperature T_6 feel, both sides of the toe joint position and sternum below the two Side vibration sensory decline. Knee and ankle clonus, plantar reflex was extensible. Neck, thoracic radiography showed changes in spondylitis,