莱姆病致亚急性横断面脊髓炎1例

H. Gumus
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引用次数: 1

摘要

他在过去2周内出现进行性截瘫,出现尿便犹豫,只能在辅助下行走时转诊到我们诊所。体格检查未见发热、皮肤病变、淋巴结病变及器官肿大。后侧胸椎棘突明显。下肢远端肌力为3-4/5,近端肌力为4/5。下肢无振动感。从T5-6级开始出现感觉减退,随着触摸疼痛加重。下肢深腱反射和双侧巴宾斯基征增加,下肢轻度高张力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Subacute Transverse Myelitis Developed Depending on Lyme Disease: A Case Report
He referred our clinic when he can only ambulated with support, after urinary and fecal hesitancy began with progressive paraplegia in last 2 weeks. There were no fever, dermal lesion, lympadenopathy and organomegaly, in his physical examination. Upper thoracal vertebral spinous processes were sensible at his back side. Muscular strengths were 3-4/5 distally and 4/5 proximally at lower extremity. Also vibration sense was absent at lower extremity. There were hypoesthesia beginning from T5-6 level and pain was increasing with touch. There were increased deep tendon reflexes in lower extremities and bilateral babinski sign and also minimal hypertonia in lower extremities.
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