老年前期或老年期糖尿病以局限性癲痫为首发症状者较少见,笔者遇到3例病例,报告如下。 例1 男,50岁。因发作性右面部抽动并迅速扩延至右侧肢体8个月而入院。既往无多饮、多食、多尿史。查体仅见右面和右上肢轻度力弱。周围血象、尿常规及酮体,胸透和心电图均无异常。脑电图描记显示左半球棘—慢综合波发放。 Pre-senile or elderly diabetic patients with focal epilepsy as the first symptom is rare, I encountered three cases, the report is as follows. Example 1 male, 50 years old. Due to episodes of right-sided twitching and rapid expansion to the right limb 8 months and admitted to hospital. Never drink more, eat more, history of polyuria. Physical examination only see the right and right upper limb mild weakness. Peripheral blood, urinary routine and ketone body, chest X-ray and ECG were normal. Electroencephalography showed left hemisphere spine - slow synthesis wave release.