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急性小脑共济失调临床少见,现将8例报告如下。 男,女各4例,年龄18—57岁,平均29岁。4例起病有发热、头痛或腹泻病史。临床表现头痛4例。腹泻2例。头晕、恶心5例。耳鸣1例。讲话含糊不清或呈爆发式语言6例。视乳头水肿,眼球震颤各2例。指鼻不准、轮转动作笨拙7例,意向震颤2例,跟、膝、胫动作不准7例,步态不稳,闭目难立征(+)8例。肌张力降低4例,肌腱反射减弱3例。8例肌力均正常,锥体束征(一)。住院期间1例出现四肢强直抽搐发作。血白细胞4.9～15×10~9/L,中性58—86％,淋巴11—28％。
Acute cerebellar ataxia clinical rare, now 8 cases are reported as follows. Male and female 4 cases, aged 18-57 years, mean 29 years. 4 cases of fever onset, headache or history of diarrhea. Clinical manifestations of headache in 4 cases. Diarrhea in 2 cases. Dizziness, nausea in 5 cases. Tinnitus in 1 case. Ambiguous speech or explosive language in 6 cases. Papilledema, nystagmus in 2 cases. Finger nose is not allowed, clumsy rotation in 7 cases, intention tremor in 2 cases, with knees, tibia movements are not allowed in 7 cases, gait instability, closed eyes refractory sign (+) in 8 cases. Muscle tension decreased in 4 cases, tendon reflex in 3 cases. 8 cases of normal muscle strength, pyramidal tract signs (a). One case of tetanus convulsions occurred during hospitalization. Blood white blood cells 4.9 ~ 15 × 10 ~ 9 / L, neutral 58-86%, lymphatic 11-28%.