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头痛型癫痫如不伴局部及全身性抽搐等癫痫常见症状,容易被忽视而延误诊治。现将我院经临床和脑电图检查确诊的头痛型癫痫2例报告如下,并作简单讨论。例1:男,40岁,干部。因反复发作性头痛20余年入院。于1959年开始,无明显诱因,出现前额部剧烈刺痛数分钟后自行终止,每周1～2次。不伴恶心呕吐、意识障碍、肢体抽搐及精神异常。其母有类似头痛及抽搐病史。曾多次诊断为“血管性头痛”长期治疗无明显效果。体查:发育营养好,头颅无畸形,颈软,头颈部未闻及血管异常杂音,眼底及神经系统未见异常。头颅正侧位片正常,脑电图常规抽记各导联可见21～24低幅β波,前额部出现较多单发及短程4～7 c/s 100～150 θ活动及散在2.5～3c/s高达180～260uv慢波节律,过度换气50秒钟,各导联出现长短程高波幅极高波幅3 c/s尖慢波放电,同时病
Headache-type epilepsy without partial and general convulsions and other common symptoms of epilepsy, easily overlooked and delayed diagnosis and treatment. Now our hospital diagnosed by clinical and electroencephalogram headache-type epilepsy reported as follows, and for a brief discussion. Example 1: Male, 40 years old, cadre. Due to recurrent headache for more than 20 years admitted to hospital. Beginning in 1959, there is no obvious incentive, there is severe pain in the forehead Ministry of self-terminations after a few minutes, 1 or 2 times a week. Not accompanied by nausea and vomiting, disturbance of consciousness, limb twitching and mental disorders. His mother had a history of headaches and convulsions. Has repeatedly diagnosed as “vascular headache” no significant effect of long-term treatment. Physical examination: good development and nutrition, no deformity of the head, neck soft, no smell of blood vessels and head and neck noises, eyes and nervous system without exception. The skull was normal lateral radiographs, EEG routine drawing of each lead shows low frequency of 21 ~ 24 beta, the frontal appear more single and short range 4 ~ 7 c / s 100 ~ 150 θ activity and scattered in 2.5 ~ 3c / s up to 180 ~ 260uv slow wave rhythm, hyperventilation 50 seconds, the lead appeared long-range high-amplitude high amplitude 3 c / s sharp slow wave discharge, at the same time sick