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例1 女,16岁。以无原因的发作性哭泣4月余之主诉来院就医。4个月前开始,无任何诱因每日发作性哭泣1—2次,每次均痛哭难解,泣不成声,持续数分钟至10分钟,偶达1—2小时,自行停止;发作时伴有上腹部不适感,意识模糊,不识家人,随发作之后表现为乏力嗜睡,苏醒后不能记忆,在间歇期一切如常。否认头部外伤史,家族中无癫痫发作者。检查:发作间歇期神经系统未见异常。头颅X 线平片无异常;腰椎穿刺测得脑脊液压力及常规,生化检查均正常;血、尿、粪三常规正常;超声波探查脑中线波无偏移;同位素脑扫描阴性;脑电图记录显示双侧颞部及中央区有较多的负相、正相尖波,有段状发放;双侧颈内动脉造影脑血管显影正常。三个月前开始服用苯妥英钠0.1,一日三次。发作次数逐渐
Example 1 Female, 16 years old. No reason for the onset of crying in April more than the chief complaint came to hospital for treatment. 4 months ago, without any incentive to episodes of crying 1-2 times a day, every time crying, crying for a few minutes to 10 minutes, even for 1-2 hours to stop on their own; when the attack accompanied by Abdominal discomfort, confusion, do not know the family, with seizures showed fatigue, lethargy, wake up, can not remember, in the intermittent period, as usual. Denied the history of head trauma, no seizures in the family. Check: Intermittent nervous system no abnormalities. Skull X-ray film was normal; lumbar puncture measured cerebrospinal fluid pressure and routine, biochemical tests were normal; blood, urine, feces routine normal; ultrasonic probe brain wave without offset; isotope brain scan negative; EEG records show Bilateral temporal and central areas have more negative phase, positive phase spikes, a segment distribution; bilateral internal carotid artery angiography cerebrovascular development was normal. Take phenytoin 0.1 three months ago three times a day. The number of seizures gradually