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笔者近6年来诊治12例,开始均误诊为癔病久治不愈,为吸取经验教训。现分析如下: 1 临床资料 1.1 一般资料 男7例,女5例。年龄13～42岁,平均27岁,病程1个月到1年。既往有脑外伤史者2例,高血压者2例,病脑1例。 1.2 临床表现 12例均由运动后而诱发,多在每于站立一段时间后突然迈步时,或久坐突然站立时,或在跑步途中发生。表现为面部肌肉抽搐,双上肢或一侧肢体不能控制的扭动,伸屈及抽搐,持续数秒至数十秒钟后缓解,所有病例发作时神志均清楚,大多数精神紧张时易发作,数小时到数天发作1次不等。
The author diagnosis and treatment of nearly 6 years 12 cases, beginning misdiagnosed as hysteria for a long time, in order to learn from experience and lessons. Are analyzed as follows: 1 Clinical data 1.1 General Information 7 males and 5 females. Aged 13 to 42 years old, average 27 years old, duration of 1 month to 1 year. Past history of traumatic brain injury in 2 cases, 2 cases of hypertension, brain disease in 1 case. 1.2 Clinical manifestations of 12 cases were induced by exercise, and more in each standing suddenly after a while, or sedentary suddenly standing, or in the running occurred. Manifested as facial muscle twitching, upper limbs or limbs can not control the twisting, flexion and twitching, lasted for a few seconds to tens of seconds after the remission, all cases of consciousness are clear, most of the mental stress prone to attack, the number of A few days to attack a few times.