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患儿,男,4岁。于5个月前无任何原因的出现看到就在面前的妈妈突然离他很远,随即喊妈妈过来,拉着妈妈的手仍然看着妈妈离他很远,约1～2分钟后该症状消失,当时意识清楚,不伴随其他异常症状,过后精神状态完全正常。此后仍反复发作,发作时患儿眼睛四处张望,扫视房间内物品,不仅看着面前的人离他很远,就连房间里的桌椅家具都在很远的地方,持续时间短暂,随即就看着这些人、物又在面前,使患儿感到莫名其妙,懵懵地问家长:“怎么会这样?”家长认为孩子是一时精神不正常而来诊。患儿无头部外伤及感染史,其父患癫痫失神发作,共姐患喉痉挛性癫痫,目前均在坚持服药。查体:神清,内科及神经科未查及阳性体征。患儿智能发育正常,活泼可爱,言语流利,能较有条理地叙述其看到的
Children, male, 4 years old. 5 months ago without any reason appeared to see in front of the mother suddenly far away from him, then shouted mother coming over, holding her mother’s hand still looked at her mother far away from him, about 1 to 2 minutes after the symptoms Disappeared, was aware of the time, not accompanied by other abnormal symptoms, after the mental state completely normal. After repeated episodes of attack, the children looked around the eyes, glanced at the room items, not only looked at the people in front of him far away, even the furniture and furniture in the room are far away, the duration of short-term, then Look at these people, things in front of them, so that children feel baffled, shyly asked the parents: “how so?” Parents think the child is a temporary mental illness and visit. Children without head trauma and infection history, his father suffering from epilepsy seizures, sister suffering from laryngospasm epilepsy, are insisting on taking medication. Examination: Shenqing, internal medicine and neurology did not check positive signs. Children with normal intellectual development, lively and lovely, fluent in words, can be more systematically narrative to see