老年人发生迅速恶化的急性多灶性神经机能失调,往往给临床医生提出鉴别诊断上的难题。而且,在神经病理学检查之前,常无法解决。本文报告的一例患者,由于其在临床和神经病理学上的不典型表现,作者认为该例可能是一种独特的临床疾病。一、临床及神经病理学检查所见患者男性,66岁,因进行性步行困难,视力、近记忆和听力减退三周,数天后有急性尿潴留而进入当地医院。在入院后的一星期中,视力进一步丧 The acute deterioration of the elderly acute multifocal neurological disorders, often to clinicians put forward the differential diagnosis of the problem. And, in the neuropathological examination, often can not be solved. One patient reported in this article, because of its atypical clinical and neuropathological manifestations, is considered by the authors to be a unique clinical disease. First, clinical and neuropathological examination seen in patients with male, 66 years old, due to the difficulty of walking, visual acuity, memory and hearing loss for three weeks, a few days after acute urinary retention and access to the local hospital. During the week following admission, further vision loss