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患儿男,8岁,因反复发作性头痛、呕吐3年,伴有一过性眼肌下垂入院。患儿自3年前开始无明显诱因的发作性头痛,以前额部为主,伴有恶心、非喷射性呕吐,无意识障碍,发作持续半天至1天不等,用安定等药物治疗可缓解。1985年7月头痛发作时曾在当地医院做脑电图示“异常脑电图”,头颅平片正常,半个月后复查脑电图正常。一年前患儿再发头痛时,至缓解期出现右测眼睑下垂,当地医院查脑血流图提示:血管舒缩功能障碍。用青霉素、地巴唑等药治疗,一周后症状渐消失。以后再发头痛时未出现眼肌麻痹症状。否认偏头痛家族史及脑外伤手术史。
Male, 8 years old, due to recurrent headache, vomiting for 3 years, accompanied by transient ophthalmic ptosis hospitalization. Children from the beginning three years ago, no obvious incentive to cause episodes of headache, mainly in the Ministry of Forehead, accompanied by nausea, non-injection of vomiting, unconsciousness disorder, seizures continued for a long time ranging from a day to 1, with stability and other drug treatment can be alleviated. 1985 July headache attack was done in the local hospital EEG “abnormal EEG”, normal skull plain, two weeks after the review of normal EEG. A year ago, when a child recurred with headache, the right eyelid ptosis appeared during the remission. The local hospital checked the cerebral blood flow diagram and suggested that vasomotor dysfunction. With penicillin, methimazole and other drugs, the symptoms gradually disappear after a week. No recurrence of ophthalmoplegia occurred after headache. Denied migraine family history and traumatic brain surgery history.