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【正文】 racterized by dysarthria ,dysphagia, drinking irritate coughing .表現(xiàn)同真性球麻痹 ? jaw jerk and gag reflex positive下頜 /咽反射 (+) ? grasp ,suck reflex ? uncontrollable laughing or crying強哭強笑 ? It results from bilateral damage of the corticobulbar and corticospinal tracts. 雙側皮質腦干束和脊髓束損害 ? . multiinfarction and frontal lobe dysfunction .腦炎 ,多發(fā)腦梗死 Peripheral nerve pattern Endbrush pattern ： Multifocal neuropathy symmetry damage all extreminities for example: diabetes result in Neuropathy gloveandstocking” sensory loss Flaccid弛緩 paralysis Peripheral nerve pattern 1） mono nerve damage: Mononeuropathy 2) Nerve plexus神經 叢damage: symmetrical sensory impaiment of all modalities樣式 馬尾神經根 ? Severe radicular unilateral pain ；根性疼痛和感覺障礙位于會陰部、股部或小腿，但為單側或不對稱 ? Sensory distribution in unilateral saddleshaped area癥狀雷同脊髓圓錐。 胸髓（ T3～ T12）： Spastic paresis雙下肢呈中樞性癱瘓（截癱）及括約肌障礙。 Conus medullaris syndrome 脊髓圓錐（骶 3～ 5和尾節(jié)） ? Pain usually bilateral and not senere ? Sensory distribution in bilateralsaddleshaped area會陰部馬鞍狀感覺缺失，肛門反射消失和性功能障礙 ? Muscle changes not ma
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