论文部分内容阅读
自从1957年Gastaut等第1次提出偏身抽搐-偏瘫-癫痫综合征 (Hemiconvulsions-hemiplegia-epile-psie syndrome,简称HHE综合征)的命名以来,引起了人们的注意,但多着重于儿童病例的病因探讨。现将我院所见包括青年在内的5例报告如下,供参考。 病例报告 例1 男,20岁,农民。4年前开始发作性,左上肢强直性抽搐、麻木、触电感,继而昏倒,每次持续2分钟,醒后难回忆。2年后常因中止抗痫药物而发作加频,左上肢无力,近2个月左下肢亦无力。检查:左侧中枢性较偏瘫。脑电图示弥漫θ活动和尖波棘尖波发放,右半球为明显。腰穿脑脊液检查和右颈动脉造影正常。用苯妥英钠、安定治疗11天,癫痫控制,偏瘫无改变。
Since Gastaut et al first proposed the designation of hemifacial-epilepsy syndrome (Hemiconvulsions-hemiplegia-epilepsy syndrome) for the first time in 1957, it has attracted much attention, but more attention has been paid to children’s cases Etiological Discussion. Now I see in our hospital, including young people, including the following five reports for reference. Case report 1 male, 20 years old, farmer. 4 years ago onset of paroxysm, left upper limb tonic twitch, numbness, electric shock, and then collapsed, each lasting 2 minutes, wake up hard to remember. 2 years after the onset of anti-epilepsy drugs and frequent attacks, left upper limb weakness, left lower extremity nearly 2 months also weakness. Check: the left central paralysis. EEG showed diffuse θ activity and spike wave spike release, the right hemisphere was obvious. Lumbar puncture cerebrospinal fluid examination and right carotid artery angiography normal. With phenytoin sodium, diazepam for 11 days, epilepsy control, hemiplegia no change.