论文部分内容阅读
癫痫发作可引起反复发作性语言暂停。作者报告一例左侧优势半球辅助运动区的转移性腺癌,引起的癫痫性失语。患者、65岁,男性、右利。有严重的吸烟史,患慢性肺病、轻度糖尿病和高甘油三酸酯血症。因突然发作性不能讲话而入院。每天发作3～4次,每次持续2～3分钟。入院检查:血压160/80mmHg,神经系统检查以及语言理解力和其他精神功能正常。CSF 压力120mmHg,蛋白质含量54mg/100ml,糖55mg/100ml,未发现细胞。血糖160mg/100ml,血红蛋白19.4g/100ml,红细胞压积54%,血清甘油三酯196mg/100ml。其余各项检查均正常。入院二天曾4次突然变哑约3分钟,能听懂别人的话,而无异常的运动性活动或轻瘫,能用双手重复手势表达,但不能写字。EEG 正常。作者曾认
Seizures can cause recurrent language pauses. The authors report a case of metastatic adenocarcinoma in the left dominant hemispheric arousal zone, resulting in epileptic aphasia. Patient, 65 years old, male, right-handed. Have a serious history of smoking, suffering from chronic lung disease, mild diabetes and hypertriglyceridemia. Due to sudden onset can not speak and admitted to hospital. Attack 3 to 4 times a day, each lasting 2 to 3 minutes. Admission examination: blood pressure 160 / 80mmHg, nervous system examination and language comprehension and other mental function is normal. CSF pressure 120mmHg, protein content 54mg / 100ml, sugar 55mg / 100ml, no cells were found. Blood glucose 160mg / 100ml, hemoglobin 19.4g / 100ml, hematocrit 54%, serum triglyceride 196mg / 100ml. The rest of the checks are normal. Admitted to hospital two times a day 4 times suddenly become dumb for about 3 minutes, can understand other people’s words, without abnormal sports activities or paralysis, can use both hands to repeat gestures, but can not write. EEG normal. The author has recognized