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多发性硬化的诊断有一定的困难。本文从误诊病例中提出几点早期诊断的体会,并参考文献略加讨论。例1 男,23岁,因突然排尿困难,双下肢轻瘫1天入院。20天前出现颈部及右肩部阵发性剧痛并伴有上陶部束带感。每次可持续数分钟,自行缓解。过去史无特殊。检查双上肢肌力Ⅰ—Ⅱ°,腱反射(一),腹壁反射及提睾反射消失。T_4以下痛温觉减退,病理反射未引出。胸部正侧位X线片正常。
Multiple sclerosis diagnosis has some difficulties. This article from the misdiagnosis of cases made some early diagnosis, and a little discussion with reference to the literature. Example 1 Male, 23 years old, due to sudden urination difficulties, lower extremity paralysis 1 day admitted. 20 days ago appeared in the neck and right shoulder paroxysmal pain accompanied by Tao Department of tie sense. Each sustainable for a few minutes, to ease. Past history is unique. Check the double upper limb muscle strength Ⅰ-Ⅱ °, tendon reflexes (a), abdominal reflex and cremaster reflex disappeared. T_4 following pain and temperature decline, pathological reflex did not lead. The chest is lateral radiographs normal.