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患者女,30岁,因“四肢肌肉颤动、无力3年,多食消瘦1年”于2013年9月15日入院。患者于3年前出现双侧小腿肌肉颤动,呈对称性,伴多汗,睡眠状态下仍可见肌肉颤动,逐渐累及腹部、胸部及双上肢肌肉,呈阵发性颤动,每次持续时间数分钟。近2年出现四肢抽动,发作时上肢伸直,拇指屈曲,其余四指伸直,双下肢呈伸直状,双足呈跖屈状,持续1 h后可自行缓解,发作时无意识障碍。1.5年前分娩后
Female patient, 30 years old, was admitted to hospital on September 15, 2013 due to “limb muscle tremors, weakness for 3 years, and more weight loss 1 year.” Patients with bilateral calf muscle fibrillation three years ago, symmetry, with hyperhidrosis, sleep conditions are still visible muscle fibrillation, gradually involving the abdomen, chest and upper extremity muscles, paroxysmal fibrillation, each duration of minutes . Extremities twitching occurred in the past two years, the onset of upper extremity straightening, thumb flexion, the other four fingers straight, the lower extremity was straight, plantar flexion of both feet, sustained 1 h after spontaneous relief, onset of unconsciousness. 1.5 years ago after delivery