Results The main clinical characteristics of tabes dorsalis were: ( 1) Absence of classic clinical features of tabes dorsalis except for impaired vibratory and position sense in feet and legs, absent tendon reflexes at knee and ankle, gait ataxia and Romberg sign; 结果目前脊髓痨的主要临床特征为:除行走不稳、下肢深感觉障碍、跟膝反射减弱或消失以及Romberg征阳性外,其他典型临床特征缺乏。
Results: Among the 7 cases there are 4 cases of meningovascular syphilis, 1 case of general paresis, 1 case of meningeal syphilis, 1 case of tabes dorsalis. 结果:7例患者中,脑膜血管型梅毒4例,脊髓痨1例,麻痹性痴呆1例,脑膜梅毒1例。
Methods We studied the clinical and laboratory data of 3 patients with tabes dorsalis retrospectively who were misdiagnosed during the last 3 years in/ out hospital and the relevant literatures in the last 3 years were reviewed. 方法结合文献报道病例,回顾性分析近3年在我院及院外误诊的3例脊髓痨患者的临床与实验室资料。
Conclusions At present, the tabes dorsalis should be involved in the differentiation diagnosis for the deceases with the lesions of posterior roots, dorsal columns and peripheral nerve. It is important for patients with age 40~ 60 years or whose nerve conduction velocity is normal. 结论目前对于定位于脊髓(尤其是腰髓)后根、后索以及周围神经病变的患者,尤其是年龄40~60岁、电生理检查神经传导速度正常者,需要注意鉴别脊髓痨。