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患者男,36岁,门诊病人.因发作性摇头十余日于83年9月12日来诊.无明显诱因的反复发作性摇头十余日,每日数次,每次持续10～20秒.发作前有头晕、心区不适等,予感发作的来临,但不能自控.就诊时,发作一次,坐位.患者子叙述病史过程中,突然说:“要摇头.”话音刚落,迅即大半身前倾约45°.头略前屈,快速向左右反复旋转各90°,共约二十下.不再说话,未见四肢和其它部位抽动.持续10秒左右自动停止.发作时不及观察瞳孔、心跳和眼球运动,无面色苍白、出汗、流涎等.发作后神志清楚,说话略急躁,无其它明显不适.心率88次/分,瞳孔等大0.3cm,光反射正常,约经2～3分钟后恢复常态.过去无类似发作,无头痛、高血压和颅脑外伤史.无同病家族史.体检和神经系统检查(包括眼底)未见异常.血尿常规及心
Patients, male, 36 years old, outpatient .As a result of the onset of shaking his head more than ten days in September 12, 83 to come .There is no obvious incentive to repeatedly shaking his head more than ten days, several times a day, each lasting 10 to 20 seconds. Before the onset of dizziness, heart discomfort, etc., to feel the onset of the advent of, but can not be controlled. Visit, the seizure once, sitting. Patient sub-narrative history, suddenly said: “To shake his head.” Pour about 45 °. Head slightly flexion, rapid rotation to the left and right repeatedly 90 °, a total of about 20. Speak no more, no limbs and other parts of the twitch.Opened for about 10 seconds to stop automatically.The onset of less than observe the pupil, Heartbeat and eye movement, no pale, sweating, salivation, etc. After the episode conscious, speak a little impatient, no other obvious discomfort. Heart rate 88 beats / min, the pupil and other large 0.3cm, light reflex normal about 2 to 3 No abnormalities in the past, no history of headache, high blood pressure and traumatic brain injury, no family history of same disease, no abnormalities in physical examination and neurological examination including fundus, hematuria and heart