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患者,女,56岁。1年前无明显原因出现右侧眼睑肌肉不自主抽动,情绪激动及紧张时加重。以后波及右侧面部及口角肌肉。曾服苯妥英钠、氯硝基安定、苯巴比妥、维生素 E 等药,症状时轻时重。查体:神志清楚,除右侧眼睑及口角肌肉不自主抽动外,其余神经系检查无异常。血、尿、便常规及血脂、血糖均正常。脑电图及头颅 CT 正常。患者母,78岁。类似病史20余年,57岁发病,除右侧面肌不自主抽动外,神经系统无阳性体征发现。脑电图正常。曾服用镇静剂、抗痉剂及多种维生素治疗无效。
Patient, female, 56 years old. A year ago, there is no obvious reason for the right eyelid muscle involuntary twitching, agitation and aggravating tension. After spread to the right side of the face and mouth muscles. Had served phenytoin sodium, clonazepam, phenobarbital, vitamin E and other drugs, when the symptoms of light weight. Examination: Consciousness, in addition to the right eyelid and mouth muscles involuntarily twitch, the other neurological examination was normal. Blood, urine, then routine and blood lipids, blood glucose were normal. EEG and head CT normal. Patient mother, 78 years old. Similar to more than 20 years of history, 57-year-old onset, except involuntary facial muscle right twitch, the nervous system found no positive signs. EEG normal. Have taken sedatives, antispasmodic agents and multiple vitamin treatment is invalid.