论文部分内容阅读
病例:女,52岁。10年前因丧偶悲伤后出现阵发性头昏头痛,每次历时数分钟至数十分钟不等,以头顶部为著,不伴呕吐和抽搐,无意识障碍。曾在县市级以上医院作过多种检查未发现异常,诊断为神经官能症或血管神经性头痛等,服用过安定、颅通定等药,症状时稳时现。本次因工作劳累后上述症状加重,且伴有眼花,随后感四肢乏力,发作次数亦明显增加,每天5~10次。体格检查(包括神经系统)均无阳性发现。血尿便常规、肝功能、肾功能无异常。胸透及心电图正常。脑血流图检查:前脑左右波幅差33%,考虑为血管神经性头痛和更年期综合征?先后给予维磷补汁、更年康、谷维素、颅通定和中草药治疗,症状无明显改善。不久其子来院探访,医师发现他头颅较大与身体比例不协调,且智能低下。追问病史得知此人除发育不良、智力低
Case: Female, 52 years old. 10 years ago after the spouse grieved paroxysmal dizziness headache, each time ranging from minutes to tens of minutes to the top of the head is not accompanied by vomiting and convulsions, unconsciousness. Have been in the county level above the hospital made a variety of tests found no abnormalities, diagnosed as neurosis or vascular neuropathic headache, taking stability, craniotome and other drugs, when the symptoms appear stable. The work of fatigue after the above symptoms aggravated, and accompanied by vertigo, then feeling limb weakness, the number of seizures also increased significantly, 5 to 10 times a day. No physical examination (including the nervous system) were found. Hematuria routine, liver function, renal function without exception. Thoracic and electrocardiogram normal. Cerebral blood flow test: the amplitude of the left and right forebrain difference of 33%, consider the vascular neuropathic headache and menopausal syndrome? Have given Victoria Pian replenishment, more annual health, oryzanol, craniofacial and Chinese herbal medicine treatment, no significant improvement in symptoms. Soon his son came to visit the hospital, the doctor found that his head larger and the body does not match the ratio, and mental retardation. Asked the medical history that this person in addition to stunting, mental retardation