柞蚕蛹性脑病为进食蚕蛹后引起的变态反应性疾病,临床上主要表现为消化道症状及脑病症状。国内已有几十例报道,但结合脑电图及脑电地形图进行动态观察,尚未见报道。今将我们遇到的一例结合脑电图、脑电地形图的动态改变报告如下:患者女性,34岁。以进食蚕蛹后十小时出现恶心、呕吐,全身颤抖四天,嗜睡、反应迟钝三天为主诉入院。患者入院四天前进食柞蚕蛹五个,十小时后出现恶心及呕吐,全身颤抖,经内科对症处理后症状减轻,第二天患者出现头晕、嗜睡、反应迟钝,第三 Tussah pupa encephalopathy is caused by eating silkworm pupa allergic diseases, the main clinical manifestations of gastrointestinal symptoms and symptoms of encephalopathy. There are dozens of reports in China, but the dynamic observation combined with EEG and EEG topographies has not been reported yet. Now we encounter a case of combined EEG, EEG dynamic changes reported as follows: Female patients, 34 years old. Ten hours after eating silkworm pupa nausea and vomiting, trembling four days, drowsiness, unresponsive for three days mainly for admission. Four days before admission, the patients consumed five tussah pupae, nausea and vomiting ten hours later, their body trembled, symptoms were relieved after symptomatic treatment by internal medicine. The next day, the patient developed dizziness, drowsiness and unresponsiveness and the third