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以阵发性喉痉挛发作为主要临床症状的癫痫病例,国内尚未见报道。我们诊治1例,现报告如下: 男,10岁,学生,于3年前不明原因夜间突然出现胸闷,喉部阻塞感,惊叫不安伴遗尿,历时约1.5分钟止。随后入睡,次晨记忆不清,每2～3个月发作1次,1年后发作变频,病情加重,先感胸闷,喉部阻塞约几秒钟,继而突然站立或坐起,肘关节约呈90°曲屈,头向后仰,张口、眼上翻、站立时踉跄后退至背靠墙或门时才止。喉部发出节律性“咯咯”响声,面色发黄、出汗、流泪,呈极度痛苦状态。清醒、入睡、进食或看电影时均有发作。每次约2分钟左右,无抽搐和意识丧失。痉挛停止后即睏倦入睡。
Paroxysmal laryngeal spasm as the main clinical symptoms of epilepsy cases, has not been reported in China. Our diagnosis and treatment of a case, the report is as follows: Male, 10 years old, students, 3 years ago, unexplained sudden chest pressure at night, throat obstruction, screamed with enuresis, lasted about 1.5 minutes only. Then fall asleep, next morning memory is not clear, attack every 2 to 3 months 1, 1 year after the onset of frequency conversion, exacerbations, first feeling chest tightness, laryngeal obstruction for a few seconds, and then suddenly stand or sit up, elbow Was 90 ° flexor, head back, mouth, eyes turned, standstill when back to the back wall or door to stop. Rhythmic rhythmic “giggle” sound, looking yellow, sweating, tears, was extremely painful. Awake, asleep, eating or watching movies have seizures. About 2 minutes each time, no convulsions and loss of consciousness. Spasm sleepy after falling asleep.