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癫痫的旋转性发作是局限性癫痫的一种类型,现报告1例如下:患者男性67岁,住院号60194.于81年2月23日上午与别人讲话时突然出现头眼及躯干向右侧旋转,接着原地向右转圈一周半、自动停止.此后发作繁频,每天7-8次,每次持续0.5-2分钟.发作时神志清楚,但不能讲话.其中三次较重,除首次原地转圈外,余两次均为头部右转、双眼右凝视、右上肢微屈外展外旋、右拇指外展、躯干向右旋转;其余发作较轻,只有头眼右转或右拇指外展.若发作开始被人扶持,可减轻症状或停止发作.发作间歇期有头昏、面部麻木等症状.过去有饮酒嗜好,无高血压病史.3月5日入院时血压100/50,神经系统检查无异常发现,血、尿、粪常规,血脂分析,CSF压力及生化常规,头颅X平片均正常.双眼底视网膜动脉稍细、反光增强.EEG记录中散在短段低中电位Q活动,左颞部偏胜,过度换气中慢活动增多.出院后给大仑丁及安定常规口服治疗,5天后发作次数明显减少,8天后停止发作,带药出院.
A seizure of epilepsy is a type of localized epilepsy and one is reported as follows: A 67-year-old man with a hospital number of 60194. Suddenly his head and torso appear to the right when speaking to others on the morning of February 23, Rotate, and then right to the right circle for a week and a half, automatically stop .Frequent episodes, 7-8 times a day, each for 0.5-2 minutes .Shock conscious, but can not speak .Three times heavier, except for the first time Turn around in situ, the other two are the head turn right, eyes staring right, right upper extremity flexor outreach, right thumb outreach, trunk to the right rotation; the rest of the episode lighter, only the first eye turn right or right Thumb outreach.If the attack was started to be supported, can reduce the symptoms or stop the attack.Pause intermittent episodes of dizziness, facial numbness and other symptoms.Previous drinking habits, no history of hypertension.On March 5, admission to hospital blood pressure 100/50 , Neurological examination showed no abnormalities, blood, urine, fecal routine, blood lipids analysis, CSF pressure and biochemical routine, skull X-ray were normal .Double fundus retinal artery slightly thinner, reflective enhancement .EEG records scattered in the short segment of the low potential Q activity, the left temporo-temporal win over hyperventilation slow activity increased after discharge to the hospital Dilantin and stability of conventional oral therapy, significantly reduced the number of episodes 5 days, 8 days after the attack stopped, with drugs and discharged.