问题
单项选择题 案例分析题
患者男,48岁,因“复视2个月,行走不稳45d”来诊。大量饮酒20余年。神经系统查体:近事记忆力下降,双眼外展受限,双下肢腱反射减弱,双侧指鼻试验及跟-膝-胫试验不稳准,双下肢末梢型感觉减退。
最可能的诊断是()
A.脑干脑炎
B.脑干梗死
C.Fisher综合征
D.Wernicke脑病
E.进行性核上性麻痹(PSP)
F.颅内肿瘤
答案
参考答案:D
患者男,48岁,因“复视2个月,行走不稳45d”来诊。大量饮酒20余年。神经系统查体:近事记忆力下降,双眼外展受限,双下肢腱反射减弱,双侧指鼻试验及跟-膝-胫试验不稳准,双下肢末梢型感觉减退。
最可能的诊断是()
A.脑干脑炎
B.脑干梗死
C.Fisher综合征
D.Wernicke脑病
E.进行性核上性麻痹(PSP)
F.颅内肿瘤
参考答案:D
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