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患者,男性,19岁。头晕,头痛2月余于1987年6月16日入院。入院前20天症状加重伴恶心、呕吐,继之出现右侧肢体无力,行走不稳,饮水呛咳及顽固性呃逆。病前无头外伤及发热史。查体:恶病质,卧床不起,神清合作,不典型小脑性语言,脉搏51次,血压13.3/9.3kPa(100/70mmHg),呼吸平稳,频繁呃逆约18次/min。双侧视乳头初期水肿,轻度旋转性眼震。左鼻唇沟变浅,闭眼正常。右侧肢体肌力Ⅳ级,
Patient, male, 19 years old. Dizziness, headache February more than in June 16, 1987 admission. Twenty days before admission, the symptoms worsen with nausea and vomiting followed by weakness of the right limb, unstable walking, choking water and intractable hiccups. Headache without head injury and fever history. Examination: cachexia, bedridden, Shenqing cooperation, atypical cerebellar language, pulse 51 times, blood pressure 13.3 / 9.3kPa (100 / 70mmHg), stable breathing, frequent hiccups about 18 times / min. Bilateral papillae initial edema, mild rotational nystagmus. Left nasolabial fold shallow, eyes closed normal. Right limb muscle strength Ⅳ,