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患者刘××男58岁1年前无明显诱因出现阵发性双侧眼睑痉挛性抽动,每次持续数秒或数分钟,自行缓解。发作时,频频用力闭目、挤眼、皱眉。每遇精神紧张、情绪不稳定时,发作频繁,安静时,发作减少,睡眠时症状消失。曾在我院和当地医院按癫痫、神经官能症给予对症治疗,屡不见效。半年后,症状逐渐加剧,呈持续性痉挛,阵发性加重。既往无周围性面瘫、癫痫、风湿病史。检查时,可见双侧眼睑持续性痉挛,不自主挤眼、频频闭目、皱眉、时有张口、口角鼻旁肌肉收缩,余未见异常。脑电图、脑血流图、颅骨正侧位片、腰穿脑
Patients Liu × × male 58 years old no obvious incentive to have a paroxysmal bilateral blepharospasm one year ago, each lasting several seconds or minutes, self-remission. Attack, frequently forced closed eyes, wink, frown. Each case of mental stress, emotional instability, seizures frequent, quiet, seizures reduced symptoms disappear during sleep. In our hospital and the local hospital according to epilepsy, neurosis given symptomatic treatment, repeated no effect. Six months later, the symptoms gradually increased, showing persistent spasms, paroxysmal increase. Past no peripheral facial paralysis, epilepsy, rheumatic history. Examination, we can see persistent eyelid spasm, involuntary winking, frequently closed eyes, frown, sometimes mouth, mouth and nose muscle contraction, I no abnormalities. EEG, cerebral blood flow diagram, the skull is a lateral film, waist through the brain