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例1:男,46岁;因腹痛、腹泻、呕吐多次,于1984年4月6日下午8时自服胃复安、土霉素等药物,翌日中午睡醒时,突然发作吞咽困难,张口不能闭合,言语不清,头颈部先向后,逐渐向左扭转,双手发抖。约5分钟渐渐缓解;20～30分钟后,上述症状复现;发作时神智清醒。于来院候诊中再发作一次,除上述症状外,眼球向左斜视。体检除四肢肌张力增高外,无其他异常发现。发作间歇体检完全正常。即停服胃复安,继用土霉素等,并肌注654-2 10mg及苯巴比妥钠0.1g;观察2小时症状缓解,随访一周未再复发,脑电图检查正常。例2:男,42岁;1984年4月8日因恶心、呕
Example 1: Male, 46 years old; Due to abdominal pain, diarrhea, vomiting several times, on April 6, 1984 at 8:00 pm self-serving metoclopramide, oxytetracycline and other drugs, woke up at noon the next day, sudden onset of dysphagia, Open mouth can not be closed, speech is unclear, head and neck back first, gradually turning left, shaking hands. About 5 minutes gradually ease; 20 to 30 minutes later, the above symptoms recur; sober when the attack. In the hospital waiting for another episode, in addition to the above symptoms, the left eye strabismus. Physical examination in addition to limb muscle tension increased, no other abnormalities found. Intermittent physical examination was completely normal. That stop taking metocloptin, followed by oxytetracycline, and intramuscular injection of 654-2 10mg and phenobarbital sodium 0.1g; observed 2 hours to relieve symptoms, follow-up one week no recurrence, normal EEG. Example 2: Male, 42 years old; April 8, 1984 due to nausea and vomiting