下肢轻瘫

Results. Clinical resolution of infections, normalization of lab values, and bony fusion, based on dynamic radiographs and CT scans, were seen in all patients at latest follow-up. Staphylococcus aureus was the most frequently identified organism (8 patients). Four (29%) patients had positive blood cultures. Predisposing comorbidities were present in 12 patients. Six patients had epidural abscesses. Eight (57%) patients presented with neurologic deficits, ranging from paraparesis to quadriplegia. Complete recovery was seen in 7.

结果：临床上炎症消失、实验室检查数据正常和骨融合由所用患者随访的动态平片和CT扫描结果决定。8名患者频发金葡球菌感染，4名（占29%）患者血培养出现耐甲氨西林金葡球菌阳性反应，12名患者出现并发症，6名患者出现硬膜外脓肿，8名患者出现从下肢轻瘫到四肢瘫痪的神经损伤，7名患者完全康复。

In 6 patients with asymmetric lower extremities and feet, symptoms disappeared in 4 cases, and improved in 2. In 4 patients with urinary and fecal incontinence, 2 achieved complete control, and 2 improved. Three patients with talipes equinovarus recovered after orthopaedic treatment, and 2 with incomplete paralysis in lower limbs improved a little.

结果 本组病儿随访疗效良好。6例双下肢及双足不对称中病人中，恢复正常4例，改善2例。4例大小便失禁病人中能自主控制大小便2例，症状略改善2例。3例马蹄内翻足由骨科矫形治疗后均痊愈，2例双下肢轻瘫病人肌力略改善。

Low signal was also seen in the motor cortex on T2-weighted images in three of the eight normal volunteers and four of the 16 disease controls: one with a bulbospinal muscular atrophy, two with leukoencephalopathy and one with Binswanger's disease.

在8例正常人对照者中有3例、16例其他神经疾病患者中有4例（1例脊髓延髓性肌萎缩症患者、2例表现为下肢痉挛性轻瘫的不明原因的白质脑病患者、1例表现为痴呆和下肢痉挛性轻瘫的皮质下动脉硬化性脑病患者）在T2像上于运动皮质区也可见低信号。

To define the clinical usefulness of vestibular-evoked myogenic potential in detecting cervical medullar involvement related to human T-cell lymphotropic virus type 1 (HTLV-1) associated myelopathy/tropical spastic paraparesis.

目的：为了明确前庭诱发肌原性潜力的临床用途，我们检测了合并脊髓病/热带痉挛性下肢轻瘫的人嗜T淋巴细胞病毒I型感染（HTLV-1）所导致的颈部脊髓受累情况。

Although most individuals develop spastic paraparesis, mild ataxia, and occasional mild cognitive deficit in their second decade, the course of the disease is relatively stable.

虽然大多数患者下肢轻瘫、轻度共济失调和偶而出现在十几岁时的轻度认知障碍，此病的进程相对稳定。

Results. Solid bony fusion and the improement of paraparesis were achieed 2 years and 1 month after the surgery. He is now able to feed himself and to walk with a cane, both without assistance.

结果：术后两年零一月的随访，患者以获得坚强的骨性融合，下肢轻瘫症状得到改善，目前患者能够自行进食和在拐杖的帮助下行走。

The diagnosis of ALS was established clinically on the basis of the history and physical and electrophysiological examinations. In five patients (cases 1-5), the initial symptoms were spastic paraparesis.

21例ALS患者中有5例（病例1~5）首发症状为下肢痉挛性轻瘫，在病程进展过程中均出现上运动神经元症状体征，包括肌强直、腱反射亢进、Babinski征，尤以病例2、病例4的患者明显。

High signal was also seen in the corticospinal tract on T2-weighted images in two of the eight normal volunteers and four of the 16 disease controls: two each with AMN and leukoencephalopathy presenting spastic paraparesis.

在8例正常人对照者中有2例、16例其他神经疾病患者中有4例（2例肾上腺脊髓神经病患者、2例表现为下肢痉挛性轻瘫的不明原因的白质脑病患者）于T2像也可见皮质脊髓束走行区高信号。

The second phenotype, adrenomyeloneuropathy, manifests most commonly in the late twenties as progressive paraparesis, sphincter disturbances, sexual dysfunction, and often, impaired adrenocortical function; all symptoms are progressive over decades.

第二个表型是肾上腺髓质神经病，症状通常是在25岁至30岁间出现渐行性下肢轻瘫、括约肌障碍、性功能障碍和经常性的肾上腺皮质功能障碍；所有的症状都是在几十年间渐行的。

Lacunar infarction in patients with hypertension is also common cerebrovascular disease, clinical manifestations of light, many people without clinical symptoms, and in nuclear magnetic resonance, CT examination or autopsy, was found when more specific clinical symptoms are: a simple movement obstacles, mild hemiplegia, aphasia or without sensory disturbance; pure sensory disturbance, migraine paresthesia or loss of body; dysphonia - clumsy hand syndrome, manifested as paresis and paralysis of tongue, speaking clearly, swallowing difficulties, fine motor hand and foot less flexible; ataxia and hemiparesis, inability to break limbs and lower limbs than upper limbs, uncoordinated movements, these symptoms often disappear in two weeks.

腔隙性脑梗塞也是高血压患者中常见的脑血管病，临床表现较轻，很多人无临床症状，而在核磁共振，CT检查或尸体解剖时才被发现，较为特殊的临床症状有：单纯运动障碍、轻度偏瘫，不伴失语或感觉障碍；单纯感觉障碍、偏身感觉异常或丧失；发音障碍-手笨拙综合征，表现为轻瘫和舌瘫、说话不清、吞咽困难、手脚精细运动欠灵活；共济失调性轻偏瘫，肢休无力、下肢重于上肢，运动不协调，这些症状常可在2周内消失。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。