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急性小脑性共济失调是一种多病因的综合征,多见于小儿。近10余年,逐渐被国内外专家所重视。我院1985年以来收治本病3例,报告如下: 病历介绍 [例1] 郝某,女,8岁。住院号85—946。患儿发热、头痛、恶心、呕吐2天,于当地医院应用抗生素治疗。第三日体温降至正常,但出现眩晕、走路不稳,高声讲话无反应。3周后来我院就诊,以小脑性共济失调?散发性脑炎?于1985年2月9日入院。查体:发育正常,高声问话无反应,心肺腹未见异常。膝反射,跟腱反射亢进。巴彬斯基征阴性,脑膜刺激征阴性。蹒跚步态。指鼻试验阳性。跟膝胫试验阳性。应用Vitamin B1.B6.C.强地松等口服。治疗一周后站立及走路平衡障碍明
Acute cerebellar ataxia is a multi-etiological syndrome, more common in children. Nearly 10 years, gradually by domestic and foreign experts attention. Our hospital since 1985, treated the disease in 3 cases, the report is as follows: Medical records [Example 1] Hao Mou, female, 8 years old. Hospital number 85-946. Children with fever, headache, nausea, vomiting for 2 days, at the local hospital antibiotic treatment. The third day the body temperature dropped to normal, but there was dizziness, walking instability, loud speech no response. Three weeks later came to our hospital for treatment of cerebellar ataxia? Sporadic encephalitis? On February 9, 1985 admission. Physical examination: normal development, no response to loud interrogation, no abnormal heart and lung abdomen. Knee reflex, Achilles tendon hyperreflexia. Babinski sign negative, meningeal irritation negative. Toddler gait. Finger nose test positive. Knee tibia test positive. Application Vitamin B1.B6.C. Strong pine and other oral. One week after treatment, standing and walking obstacles to balance out