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患儿男,9岁,因无热抽搐3次入院。抽搐形式为开始右下肢体麻木,之后出现右下肢阵挛,1~2 min后逐渐出现全身强直阵挛发作,双眼凝视,意识丧失,持续3~5 min缓解,发作间期正常。入院体查:意识清,精神好,心肺腹未见异常,神经系统未见异常。皮肤干燥,无皮疹。入院后无热抽搐4次,发作形式同前,均为早晨起床前清醒状态下发作。空腹血糖及电解质正常。尿糖及尿酮体阴性。头颅CT及MRI未见异常。视频脑电图显示:发作间期醒-睡各期中央中线、双侧中央、中、后颞区散发棘波、棘慢波(图1A);发作期
Children male, 9 years old, admitted to hospital without heat twitch 3 times. The twitch was in the form of numbness of the right lower extremity followed by clonus of the right lower limb. Tonic clonic seizures gradually developed after 1 to 2 min. Eyes stared and loss of consciousness sustained for 3 to 5 min and the interictal period was normal. Admission physical examination: clear consciousness, good spirit, no abnormal cardiopulmonary abdomen, no abnormalities in the nervous system. Dry skin, no rash. No fever convulsions after admission 4 times, the same attack form, before the morning wake up before the onset of sober. Fasting blood glucose and electrolyte normal. Urine and urine ketone body negative. Head CT and MRI no abnormalities. Video EEG showed: Intermittent awake - sleep stage of the central line, bilateral central, middle and posterior temporal sporadic spikes, spikes and waves (Figure 1A); attack period