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1925年首先提出间脑癫痫的病例,以后Penfield(1941)及jasper(1945)均有较详细的报告。编写了间脑癫痫的专著,但国内报导甚少,而家族性的病例在国内外更为罕见,现将我们所见到的一个家族的病例报告如下: 先证者病例(Ⅲ_5),女,31岁,医生,已婚,广东人,住院号为117224。于1964年6月1日入院,病史系从10岁开始,其症状为发作性昏倒,并有片刻的意识丧失,简时感发热畏寒、恶心、汗多、心跳、心慌、面色苍白,四肢冰冷、麻木无力及口渴,数分钟后,症状缓解,此时眼泪甚多,并有少许头昏,数小时后即完全恢复正常,每次发作前2~3天均有腹泻,每月发作1~2次或数月一次,每次发作多在晨早醒来时。体检:瞳孔对光反应不稳定。紫外线红斑试验潜伏期缩短,双侧不对称。脑电图检查为阵发性双侧同步30~60微伏正弦形慢波,频率为4~7周/秒,以6~7周/秒最多,蝶骨电极无异常(图1)
The first case of epilepsy was proposed in 1925, and later Penfield (1941) and Jasper (1945) all reported in more detail. We have written a monograph on epilepsy, but there are few reports in the country. However, the familial cases are rare at home and abroad. Now we report the following cases of a family: probands (Ⅲ_5), women, 31 years old, doctor, married, Cantonese, hospital number is 117224. Was admitted to hospital on June 1, 1964. His medical history began at the age of 10 with symptoms of paroxysmal fainting and a brief loss of consciousness. His fever was chills, nausea, sweating, heartbeat, palpitation, pale and limbs Cold, numbness and thirst, a few minutes later, the symptoms relieved, this time a lot of tears, and a little dizziness, a few hours after the return to normal, 2 to 3 days prior to each episode of diarrhea, seizures 1 to 2 times or once a month, each episode more than waking up early in the morning. Physical examination: The pupil is unstable in response to light. UV erythema test latency shortened bilateral asymmetry. Electroencephalogram for paroxysmal bilateral synchronization 30 ~ 60 micro-sinusoidal slow wave frequency of 4 to 7 weeks / second to 6 to 7 weeks / second up to the sphenoidal electrode without exception (Figure 1)