患者吴某某,男,21岁,战士,于1992年1月下旬无诱因出现双眼视力下降,听力减退,头痛,无发热,3月份出现四肢麻木,无力,行走不稳曾诊断视神经脊髓炎,卡他性中耳炎治疗无好转,症状加重,不能行走,到沈阳数个医院治疗无效,于4月份转送我院。查心肺正常,肝脾未触及,神志清楚,语言流利,双瞳孔等大圆,光反射存在对称,眼球运动正常,视力左眼0.01,右眼0.8,视野正常,眼底视乳头色淡,视网膜静脉迂曲,黄斑中心凹反射不清,视神经萎缩,外耳正常,鼓膜光锥分散,短突突出,鼓膜轻度凹陷,电测听双耳对低音(1000HZ)气导骨导均有障碍,肌张力增强,肌力Ⅲ级,浅感觉减退,膝键反射(+++),巴氏征(+),三大常规,肝功、HBsAg,抗0,血沉均正常,心电图、脑电图正常,二次查脑脊液大致正常;脑 CT 亦无异常,综上按 Patient Wu Moumou, male, 21 years old, soldier, in January 1992 no incentive to binocular vision loss, hearing loss, headache, no fever, limb numbness in March, weakness, unstable walking had diagnosed optic neuromyelitis, Catarrhal otitis media treatment did not improve, the symptoms worsened, can not walk to several hospitals in Shenyang treatment is invalid, in April forwarded to our hospital. Check the normal heart and lung, liver and spleen did not touch, clear consciousness, fluent language, double pupil and other great circles, there is symmetry of light reflex, normal eye movements, visual acuity of the left eye 0.01, right eye 0.8, normal vision, fundus papillae pale, retinal vein tortuosity , Foveal foveal reflex, optic atrophy, normal outer ear, eardrum light cone scattered, prominent short protrusion, tympanic membrane mild depression, electrical measurement of both ears on the bass (1000HZ) guide airway conduction are obstacles, increased muscle tone, Muscle strength Ⅲ, light feeling decreased, knee reflex (+++), Pakistan’s sign (+), the three major routine, liver function, HBsAg, anti-0, ESR are normal, normal ECG, Check the cerebrospinal fluid is generally normal; no abnormal brain CT, in summary press