论文部分内容阅读
患者男性,26岁,工人。因持续性头晕1十月,走路不稳伴多动,吐字不清1周入院。此患缘于1年前因“抽风”两次在当地医院诊断为“癫痫”,遂服用苯妥英钠0.1g/日,未再出现抽搐,可正常工作。未间断用药。入院前1个月,无其它诱因自觉头晕,呈持续性,未伴头疼呕吐,无耳鸣与视物旋转,未引起注意。入院前1周因自觉头晕明显加重,出现走路不稳,容易跌倒;语言缓慢,吐字不清,说话时断时续。同时发现其明显多动,以面部肌肉和双上肢不自
Male patient, 26 years old, worker. Due to persistent dizziness 1 October, walking with immobility, ambiguous 1 week admitted to hospital. The patient was diagnosed as “epilepsy” twice at a local hospital due to “ventilation” one year ago and took 0.1 g phenytoin sodium per day without convulsions and can work normally. Uninterrupted medication. One month before admission, there were no other causes of dizziness, persistent, vomiting without headache, no tinnitus and visual rotation, which caused no attention. 1 week before admission due to consciously dizziness significantly increased, walking instability, easy to fall; slow language, articulation unclear, intermittent speech. Also noticeable hyperactivity to facial muscles and double upper extremity