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患者男,21岁,住院号22570。三年来反复发作双上肢、有时伴双下肢抽搐,每次持续约5分钟自行缓解。发作时神智清。近两年来有多食,多汗,脾气急躁,手抖。入院前14天又突发四肢抽搐,神智丧失,口吐白沫。次日发热,出汗。拟诊为癫痫并查血钙(后因故未查)和头部CT。CT见双侧基底节尾状核头部、苍白球钙化。入院前2天腹泻,排黄稀便,无里急后重感。抽搐加重。呈癫痫大发作样。以“抽搐原因待查”于1986年12月25日急诊入院。个人史:足月顺产,第五胎,生后6个月曾患“肺炎”,高烧、抽搐。智力低。无外伤手术史。家族史:其一姊有“甲亢”,其他成员无类似病史。
Patient male, 21 years old, hospital number 22570. Repeated episodes of three years, upper extremities, sometimes accompanied by lower extremity convulsions, each lasting about 5 minutes to ease themselves. Seizures when God clear. Over the past two years, eat more, sweating, temper, hand trembling. 14 days before admission and sudden limbs twitch, loss of dexterity, foaming at the mouth. The next day fever, sweating. To be diagnosed as epilepsy and check blood calcium (after the accident was not checked) and head CT. CT see bilateral basal ganglia caudate nucleus, pale ball calcification. 2 days before admission diarrhea, loose yellow loose stools, no sense of urgency after heavy. Twitching worse. Seizures were epilepsy. To “convulsions to be investigated” on December 25, 1986 emergency admission. Personal history: full-term spontaneous birth, the fifth child, 6 months after birth who had “pneumonia”, fever, convulsions. Low intelligence. No history of trauma surgery. Family history: One of her sisters has “hyperthyroidism” and other members have no similar history.