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苗×,女,7岁。2年来发作性短暂双眼失明,其时坐地摸索,不足1分钟复常,从未见抽搐及意识丧失。初起每日1～2次,渐频繁至1日10～20次。母孕期健康,第一胎7个月顺产,生后10多日抽搐1次,其后一直正常发育。无癫痫家族史。内科及神经系统检查未见异常。脑电图于双枕部为中-高波幅θ及α波混合节律,过度换气出现中-高波幅δ波。服苯妥英钠0.05g和利眠宁5mg,每日3次,10个月无发作。停药5日又复发,脑电图双枕高波幅棘慢波,过度换气时增多。再服苯妥英钠0.1g,每月2次,治疗10个月,随访无发作。
Miao ×, female, 7 years old. Episodic transient short-term blindness in 2 years, when the ground to explore, less than 1 minute normalization, never seen convulsions and loss of consciousness. Beginning 1 to 2 times a day, gradually increasing to 10 days on the 1st 20 times. Pregnancy during pregnancy, the first child 7 months of spontaneous abortion, more than 10 days after birth convulsions 1, has been normal development. No family history of epilepsy. Internal medicine and neurological examination showed no abnormalities. EEG in the double occipital for the - high amplitude θ and α wave mixed rhythm, hyperventilation appeared in the high-amplitude δ wave. Services phenytoin 0.05g and chlordiazepoxide 5mg, 3 times a day, 10 months without seizures. On the 5th stop relapse, EEG double pillow high amplitude spikes and waves, excessive ventilation increased. Phenytoin and then serving 0.1g, 2 times per month for 10 months, no follow-up.