脊髓痨

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 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：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。

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 .

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。

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 .

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。

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 .