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病历摘要患者,女性,28岁,工人。因发作性右侧肢体抽搐伴无力1月于1984年7月11日由本院产科转入神经内科。患者6月13日(妊娠38周)开始右上肢抽搐,每日发作4～5次,每次4～5分钟。发作时右拳紧握,前臂屈曲,上肢内收,有时伴右下肢抽搐。发作停止后有短暂右面部、右上肢发麻及右肢体无力。7月8日(即分娩后第三天)抽搐加重,抽搐从右上肢开始,再右下肢及右面部,最后意识丧失,约2分钟恢复。血压160/100,右侧肢体变为持续无力,头痛,无呕吐及发热。拟诊“局灶性癫痫”而由产科转入神经内
Patient summary, female, 28 years old, worker. Due to episodes of right limb twitch with weakness January on July 11, 1984 from obstetrics and gynecology to neurology. Patients June 13 (38 weeks of pregnancy) began right upper extremity convulsions, 4 to 5 episodes per day, each 4 to 5 minutes. Right fist grip when the attack, forearm flexion, upper adduction, sometimes accompanied by right lower limb convulsions. After the onset of a brief right-sided stop, right upper limb numbness and right limb weakness. July 8 (that is, the third day after childbirth) twitching aggravating convulsions from the right upper limb, then right lower extremity and right facial, the last loss of consciousness, about 2 minutes recovery. Blood pressure 160/100, the right limb became persistent weakness, headache, no vomiting and fever. The proposed diagnosis of “focal epilepsy” from obstetrics into the nerve