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急性病毒性肝炎早期伴发神经系统病变者已属少见,而急性乙型肝炎于黄疸前期出现神经系统症状、体征者更为罕见,至今国内未见报导。作者于近年发现一例急性乙型肝炎患者,于黄疸前期出现刺激性运动体征(头、眼旋转发作),为引起重视,特作报导。女,7岁,住院号270。以阵发性腹痛、纳减一周,反复发作“惊厥”一天,于1980年3月5日入院。入院前一周起有脐周阵发性腹痛,食欲不振伴呕吐。三天后出现头痛。入院前一天于看电视时,无任何诱因突然出现双目凝视,头颈转向右侧,失语,吞咽困难,持续约1～2分钟后缓解,如此反复发作4次。发作时神志仍清醒,无手足抽搐。病后无畏寒发
Acute viral hepatitis with early nervous system lesions have been rare, and acute hepatitis B in the jaundice early nervous system symptoms, signs are more rare, so far no reports. In recent years, the authors found a case of acute hepatitis B patients, irritable motor signs (head and eye rotation episodes) in the early jaundice, for special attention, special report. Female, 7 years old, hospital number 270. To paroxysmal abdominal pain, minus one week, recurrent “convulsions” one day, March 5, 1980 admitted. A week before admission, there are intermittent umbilical abdominal pain, loss of appetite with vomiting. Three days after the headache. The day before admission to watch TV, without any incentive suddenly staring eyes, head and neck turn to the right, aphasia, difficulty swallowing, sustained about 1 to 2 minutes after the remission, so repeated attack 4 times. Sense of consciousness is still awake, no hand-foot twitching. Fearless cold after illness