病例摘要男,64岁。以发作性四肢抽搐三年。近一个月加重于84年10月18日入院。82年4月无明显诱因于睡眠中突然喊叫、口吐白沫,随即四肢抽动,呈阵挛性强直样抽搐,意识不清,持续10分钟后症状缓解。发作后嗜睡,全身乏力。83年5月及84年4月2日各发作一次,近一个月来发作4次,每次发作均出现类似症状。入院前除服用安定外,未应用其他抗癫痫药物。84年7月曾作CT检查无异常。既往有高血压病史20余年,否认 Case Summary Male, 64 years old. With episodes of limbs twitch three years. Nearly a month to aggravate on October 18, 84 admission. April 82 no obvious incentive to suddenly shouted in sleep, foaming at the mouth, then limbs twitching, were clonic convulsive twitch convulsions, unconsciousness, sustained 10 minutes after the symptoms were relieved. Stroke after lethargy, malaise. In May 1983 and April 2, 84, each episode occurred four times in the past month, and each attack showed similar symptoms. In addition to taking stability before admission, no other anti-epileptic drugs. 84 years in July for CT inspection without exception. Past history of hypertension more than 20 years, denied