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患儿,男。11岁。主因发作性鼻酸半年于1987年11月9日就诊。患儿在走路、吃饭、玩耍和听课等各种活动中均可突然发生鼻酸,每次持续15～30秒,不伴有肢体抽搐和肌颤,鼻腔无分泌物,神志清,无意识障碍。病初约每周发作2～3次.近两日来发作次数增多。有时一日数次,夜间睡眠正常。查体:神经系统无异常体征,鼻粘膜无炎症改变,心肺腹检查均正常。EEG示左颞区出现4～6周/秒的平顶波,短一中程发放,诱发时,有明显增高现象,且有少量高幅棘波出现,给予苯妥英钠0.1,日二次口服,苯巴比妥60mg。日二次口服,治疗一月后鼻酸发作停止。二月后复查脑电图恢复正常。抗癫痫药减为维持量,治疗三年停药,随访至今未复发。
Children, men. 11 years old. Mainly due to septic acne six months in November 9, 1987 treatment. Children can walk, eat, play and lectures and other activities can occur suddenly in a variety of activities, each lasting 15 to 30 seconds, not accompanied by limb twitching and fibrillation, nasal secretions, conscious, unconscious. Disease onset about 2 to 3 episodes per week, the number of attacks increased in recent days. Sometimes several times a day, sleep well at night. Physical examination: no abnormal signs of nervous system, no change in inflammation of the nasal mucosa, cardiopulmonary abdominal examination were normal. EEG showed 4 ~ 6 weeks per second in the left temporal region of the flat-top wave, a short-range release, evoked, there was a significant increase in the phenomenon, and a small amount of high amplitude spikes appear, given 0.1, Phenobarbital 60mg. Oral second day, treatment of nasal acid attack after January stop. EEG after February review returned to normal. Antiepileptic drugs reduced to maintain the volume of three-year treatment, follow-up has not relapsed.