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患者男,18岁,因突发抽搐急诊入院。10分钟前病人不明原因心慌、恐惧、出汗。随之意识丧失,摔倒在地,双眼上翻,口吐白沫,四肢屈曲抽动,伴小便失禁,持续7分钟。既往史:3岁时首次上述癫癌发作,约3～6个月发作一次,现1～2个月发作一次,并出现神情呆滞,反应迟钝,四肢动作笨拙。4岁时双颊部出现红褐色、米粒样丘疹。发病以来未曾诊治。查体:BP16/10kPa,心肺体征无异常。脊柱四肢无畸形。神经系统检查;意识清,言语流利,理解力、计算力、记忆力下降。颅神经无异常,四肢肌力V级。病理征(一)。实验室及其他检查;血Ca~(++)2.75mmol/L;T_3、T_4、TSH正常;脑电图:额、顶、颞
Male patient, 18 years old, admitted to hospital due to sudden convulsion. 10 minutes ago, patients with unexplained palpitation, fear, sweating. Followed by loss of consciousness, fell to the ground, his eyes upturned, foaming at the mouth, limbs flexion and twitching, with urinary incontinence, sustained 7 minutes. Past history: At the age of 3 for the first time the above epilepsy attack, about 3 to 6 months attack once, is 1 to 2 months attack once, and appear sluggish, unresponsive, limbs clumsy. 4-year-old cheeks appeared red brown, rice-like papules. Since the onset of diagnosis and treatment. Physical examination: BP16 / 10kPa, no abnormal heart and lung signs. Spine limbs without deformity. Neurological examination; clear consciousness, fluent speech, comprehension, computational power, memory loss. No abnormal cranial nerve, V-limb muscle strength. Pathological sign (a). Laboratory and other tests; blood Ca ~ (++) 2.75mmol / L; T_3, T_4, TSH normal; EEG: amount, top, temporal