Division of Pulmonary and Critical Care Physiology and Medicine, Harbor-UCLA Medical Center, Torrance, CA.
Division of Pulmonary and Critical Care Physiology and Medicine, Harbor-UCLA Medical Center, Torrance, CA.
Chest. 2018 Oct;154(4):e113-e117. doi: 10.1016/j.chest.2018.04.011.
A 26-year-old man presented to the ED with dizziness and gait imbalance. He noted dizziness for 3 months, but symptoms progressed more rapidly over the last 3 weeks when he began experiencing nausea, vomiting, and "wobbly legs." These symptoms would worsen with physical exertion, especially when lifting heavy objects. On review of systems, he also reported subjective fevers and chills. He had no appreciable dyspnea, cough, chest pain, or increased sputum production. The patient recalled a history of "brain surgery" approximately 4 years prior to his presentation, but no further details could be provided at the time.
一位 26 岁男性因头晕和步态不稳到急诊就诊。他自述头晕已有 3 个月，但在过去 3 周症状进展更快，出现恶心、呕吐和“两腿发软”。这些症状在体力活动时会加重，尤其是提重物时。系统回顾时，他还报告有畏寒、发热。他没有明显的呼吸困难、咳嗽、胸痛或痰量增加。该患者回忆起大约 4 年前曾有过“脑部手术”的病史，但当时无法提供更多细节。
