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男,31岁,司机。以发热9天,神志不清、反复抽搐4天于1989年8月28日入院。既往体健。体检:体温37.5℃,浅昏迷,四肢频繁强直一阵挛状抽搐,双瞳孔等园,对光反应存在,眼底:双侧视乳头鼻侧方边缘模糊,颈抵抗(±),克尼格氏征(-),四肢肌张力低,痛刺激下四肢均能活动,右侧巴彬氏征(+),双肺较多中、小湿性啰音,其余内科情况无特殊。睡眠脑电图广泛异常。血清钩体凝溶试验(-),血清抗乙脑-IgM(-)。头部CT:左额顶区2.5×3.0cm不规则低密度灶(符合炎症改变)。脑诱发电
Male, 31 years old, driver. To 9 days fever, confusion, repeated convulsions 4 days in August 28, 1989 admitted. Past physical health. Physical examination: body temperature 37.5 ℃, shallow coma, frequent limbs and limbs atrophic twin seizures, double pupil and other Park, the presence of light reaction, fundus: bilateral bilateral nasal nasal side edge fuzzy, neck resistance (±), Kenig’s sign (-), limb muscle tension is low, pain can stimulate limbs can move, the right side of the Binbing’s sign (+), more lungs in the middle and small wet rales, the rest of the medical conditions were no special. Sleep EEG extensive abnormalities. Serogroup Lectra coagulation test (-), serum anti-JE-IgM (-). Head CT: left frontal area 2.5 × 3.0cm irregular low density stove (in line with inflammation). Brain evoked electricity