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患儿男,12岁,维吾尔族。因昏迷9天伴抽风、呕吐3次入院。9天前患儿食霉变甘蔗,4小时后出现呕吐(非喷射性),吐出物为白色碎渣水样物,约200ml,反复出现3次。6小时后患儿呈昏迷状态并出现抽风,持续约3～4分钟,间隔30分钟至1小时再次发作,共3次。体检:患儿处于浅昏迷状态,呼之不应,但对刺激有反应,巴彬斯基征弱阳性,其他神经系统检查均阴性。腰椎穿刺:脑脊液清亮,压力不高。脑脊液常规:潘迪氏试验(-),细胞计数1×10~5/L,糖3.5mmol/L。发病后第11天行脑部CT检查:双侧豆状核区、双侧额叶深部脑白质及双侧半卵圆
Children male, 12 years old, Uighur. Due to coma 9 days with ventilation, vomiting 3 times admitted. 9 days ago, children mildew mold sugarcane, vomiting after 4 hours (non-spray), spit water samples of white debris, about 200ml, repeated 3 times. 6 hours after the child was unconscious and evacuated, lasted about 3 to 4 minutes, interval 30 minutes to 1 hour attack again, a total of 3 times. Physical examination: children in a shallow coma, call should not, but the response to stimulation, Babinski levy weak positive, other neurological examination were negative. Lumbar puncture: clear cerebrospinal fluid, the pressure is not high. Cerebrospinal fluid routine: Pandey’s test (-), cell count 1 × 10 ~ 5 / L, sugar 3.5mmol / L. 11 days after the onset of cerebral CT examination: bilateral lentiform nucleus, bilateral frontal lobe deep white matter and bilateral semi-oval