患者男性,28岁,因“反复阵发性四肢抽动,恐惧被害十年,复发三月”入院,病程中时有大小便失控等现象,无唇舌咬破、跌伤等。病人六岁时曾因脑外伤而手术,其母有“精神分裂症”病史。入院检查:神清,亚木僵状态,右顶部头皮有一陈旧手术疤痕,肌张力增高,四肢腱反射亢进。双霍夫曼氏征(+)。时有恐惧表情出现,约十数分钟出现一次四肢痉挛发作,持续数秒自行缓解,发作后仍处于亚木僵状态。 Male patient, aged 28, was admitted to hospital due to “repeated paroxysmal limbs twitching, fear of being victimized for ten years and recurrence in March.” The patient had surgery for a brain injury at the age of six and had a history of “schizophrenia”. Admission examination: God clear, sub-stiff wood state, the right top of the scalp has an old surgical scar, increased muscle tension, limb tendon hyperreflexia. Double Huffman’s sign (+). When there is a fear expression, about ten minutes there was a limb spasm attack, sustained a few seconds to ease itself, the attack is still in the sub-stupor state.