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男患,17岁,学生。因频发性抽搐1个月就诊。1个月前其父无意中触及患者右肩部,患者突然跌倒在地,两眼球上串,头向后仰,口唇青紫,牙关紧闭,口吐白沫,意识不清,口角与四肢不停抽搐。约2分钟后自行缓解,缓解后不能回忆发作经过。此后,只要在患者无戒备时触及右肩部必有抽搐发作,一日最多发作7次,迫使其无法上学,独居一室。家族中无癫痫发作者,其母分娩时难产。查体未发现阳性体征。脑电图有阵发性高幅尖波、棘波放电、过度换气显著增加,以额顶部为著。诊
Male suffering, 17 years old, student. Due to frequent convulsions 1 month treatment. 1 month ago his father accidentally touched the patient’s right shoulder, the patient suddenly fell to the ground, the strings on both eyes, head back, blue lips, teeth closed, foaming at the mouth, unconsciousness, mouth and limbs are not Stop twitching. After about 2 minutes to ease themselves, can not recall after the onset of remission. Since then, as long as the patient gets into contact with the right shoulder when there is no alert must convulsive seizures, up to 7 times a day, forcing them to go to school, living alone in a room. No seizures in the family, their childbirth difficult labor. Physical examination found no positive signs. EEG paroxysmal high spikes, spike wave discharge, hyperventilation was significantly increased, with the top of the amount as. Clinic