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1病历摘要男,72岁。因反复发作性右面部疼痛1a来院就诊,诊断为三叉神经痛给予服用卡马西平(得理多)0.1g,2次/d止痛治疗,用药后疼痛程度减轻,发作频次减少,但不能完全缓解,于第3天开始卡马西平加量至0.2g,2次/d,之后疼痛明显缓解,第5天开始患者诉出现头晕、站立不稳伴恶心、呕吐等症状,活动加重,监测血压平稳,神经系统检查:神志清楚,对答切题,言语尚清晰,四肢肌力5级,肌张力偏低,双侧指鼻试验、跟膝胫试验欠协调,Romberg征(+),
1 medical summary male, 72 years old. Because of repeated episodes of right-sided pain 1a to the hospital, diagnosed with trigeminal neuralgia given carbamazepine (ridiculously more) 0.1g, 2 times / d pain treatment, reduce pain after treatment, seizure frequency decreased, but can not be completely relieved , On the 3rd day carbamazepine dosage to 0.2g, 2 times / d, after the pain was relieved, the patient began to complain on the 5th day of dizziness, standing instability with nausea, vomiting and other symptoms, increased activity, monitoring of blood pressure steady , Neurological examination: conscious, answering the question, the language is still clear, limb muscle strength 5, low muscle tension, bilateral nasolabial test, with knee shin test less coordination, Romberg sign (+),