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患者男性22岁,1987年3月底先有鼻塞、流涕,接着头痛、左眼胀痛、视力急骤下降,3天后来本院眼科门诊,检查左眼视力眼前指数,左侧视乳头境界不清、网膜水肿,右眼无明显异常。按视神经炎治疗,球后注射地塞米松、普鲁卡因,口服菸酸及B族维生素。头痛、眼痛明显缓解,左眼视力恢复。停止治疗10天后又剧烈头痛、喷射状呕吐、发热、右眼胀痛、4月28日以脑膜炎性质待查收住内科。入院体检:体温38℃,血压120/80mmHg、神智清,颈抵抗阳性。双瞳等大双眼视乳头边界不清、右眼明显,其余颅神经正常。四肢肌力肌张力正常、共济运动良好,双侧膝腱反射、跟腱反射亢进,病理反射未引出、深浅感觉无障碍。心肺
Male patients aged 22, the end of March 1987 the first stuffy nose, runny nose, followed by headache, left eye pain, sharp decline in sight, 3 days later to our hospital ophthalmic clinic, check the left eye vision index, the left side of the optic nerve unclear , Retinal edema, no obvious abnormalities in the right eye. According to optic neuritis treatment, dexamethasone injection after the ball, procaine, oral niacin and B vitamins. Headache, eye pain was relieved, left eye vision recovery. 10 days after the treatment was stopped, severe headache, jet-like vomiting, fever and pain in the right eye were performed. On April 28, patients with meningitis were admitted for internal medicine. Admission medical examination: body temperature 38 ℃, blood pressure 120 / 80mmHg, God clear, cervical resistance positive. Double pupil and other large binocular optic disc unclear boundary, right eye obviously, the rest of the cranial nerves normal. Limb muscle strength normal muscle tone, good atherosclerosis, bilateral knee tendon reflex, Achilles tendon hyperreflexia, pathological reflex did not lead, the depth of feeling barrier-free. Heart and lungs