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我院1987年以来遇到基底节及脑内多发钙化引起癫痫伴舞蹈症2例,用胼胝体切开术收到一定效果,现介绍如下。例1:姜某,女,17岁,住院号98567。12岁感冒发烧后首发全身抽搐,伴意识丧失,口吐白沫,四肢屈曲阵挛。后发作渐频,曾先后在省、市医院诊断为癫痫,系统服抗痫药二年余,发作未见减轻,每月3~4次。渐出现左上下肢不自主运动,精神紧张时加重。1988年4月收住我科。查体:神志清,智力略差,定向力正常,记忆力差。左上下肢有时有不自主运动,呈投掷样、舞蹈样多种形式,肌张力、肌力正常。其余无神经系阳性体征。脑电图:阵发长程3—4c/s,200~300μV尖慢波,顶部较多。血钙:8mg,
Our hospital since 1987 encountered basal ganglia and calcification of the brain caused epilepsy with chorea in 2 cases, with corpus callosum incision received a certain effect, are described below. Example 1: Jiang, female, 17 years old, hospitalization 98,567.12 years old flu after the onset of generalized convulsions, with loss of consciousness, foaming at the mouth, limb flexion clonus. After the onset of frequency, has been in the provincial and municipal hospitals diagnosed as epilepsy, systemic antiepileptic drugs more than two years, no reduction in seizures, 3 to 4 times per month. Gradually involuntary movements of upper left and lower extremities, mental stress worsened. April 1988 admitted to my department. Examination: Consciousness, intelligence is slightly worse, orientation is normal, poor memory. Left upper limb sometimes involuntary movements, were throwing, dance-like variety of forms, muscle tone, muscle strength normal. The remaining no positive neurological signs. EEG: intermittent long-range 3-4c / s, 200 ~ 300μV sharp wave, the top more. Calcium: 8mg,