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毛发运动性癫痫的主要表现为发作性竖毛或是起“鸡皮疙瘩”,临床上罕见。作者报告一例如下:患者男性,44岁。一天开车从工厂回家时,突然癫痫发作,咬破舌头,小便失禁。四个月后,发作性起“鸡皮疙瘩”,从右面部扩散到右上、下肢,最后扩散到全身。有时开始就是全身性的。每次发作时持续数分钟。寒冷或精神紧张常引起发作,但皮肤的温度和颜色无变化。发作时神志清楚,发作前上腹部常有一种特殊感觉。在毛发运动性癫痫发作时,EEG 显示节律性的尖波和慢波放电,右额、颞区明显。CSF 检查和 CT 脑扫描正常。给予痛痉宁和苯妥英钠治疗,但发作未能控制。此后,早晨头痛,进行性加重。在毛发运动性癫痫发作后,常有强烈的不愉快的气味。十三个月后,因双侧视神经乳头水肿,左上象限盲,左侧轻偏瘫,右瞳孔散大
The main manifestation of hair-induced epilepsy is seizure vertical hair or “goose bumps”, clinically rare. The authors report an example as follows: Male patient, 44 years old. One day driving home from the factory, a sudden seizures, bite tongue, urinary incontinence. Four months later, episodic “goose bumps” spread from the right side to the upper right and lower extremities and eventually spread throughout the body. Sometimes the beginning is systemic. Each episode lasts for a few minutes. Cold or stress often cause seizures, but the skin temperature and color change. Conscious when the attack, the attack before the abdomen often has a special feeling. In hair motility seizures, EEG showed rhythmic sharp wave and slow wave discharge, right forehead, temporal area obvious. CSF examination and CT brain scan normal. Give painful Spasm and phenytoin treatment, but the seizures failed to control. Since then, morning headache, progressive increase. After a hair-type seizure, there is often a strong unpleasant odor. Thirteen months later, due to bilateral optic papilla edema, upper left quadrant blindness, left hemiparesis, right mydriasis