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癫痫是一个常见病,但相当一部分患者是症状性癫痫,即有原因可查的癫痫。在内分泌疾病当中,甲状旁腺功能减退症的患者相当一部分表现癫痫样发作,而儿童的甲状旁腺功能减退症,癫痫发作又可以是唯一的症状。因此对癫痫发作的患者,尤其是儿童要注意查血钙,以免误诊和漏诊。作者曾遇到一例甲状旁腺功能减退症患者误诊为癫痫十四年,现介绍如下:范×,男,20岁。知识青年。以发作性四肢抽搐体意识丧失14年为主诉,于1987年4月23日收住院。
Epilepsy is a common disease, but a considerable number of patients are symptomatic epilepsy, that is, epilepsy with reason to check. Among endocrine diseases, a significant proportion of patients with hypoparathyroidism have epileptic seizures, whereas children with hypoparathyroidism and seizures can be the only symptoms. Therefore, patients with seizures, especially children should pay attention to check calcium, so as to avoid misdiagnosis and missed diagnosis. The author has encountered a case of hypoparathyroidism in patients with misdiagnosed as epilepsy fourteen years, are presented below: Fan ×, male, 20 years old. Knowledge of youth. In order to attack the limbs twitch body loss of consciousness for 14 years as the main complaint, on April 23, 1987 admitted to hospital.