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编辑同志: 头痛性癫痫在临床上常以起止突然、反复发作性头痛,不伴有躯体抽动,间歇期正常为主要表现。有的病人脑电图在发作时有痫样放电,抗癫痫治疗有效。笔者在临床工作中遇到3例,报告如下。例1:男、12岁。发作性头痛2年,呈搏动性头痛,常伴有头晕、出汗、恶心,有时呕吐,持续3-10分钟后恢复正常。每次发作无明显诱因、意识清、无抽搐、发作后有头昏感。曾先后多次诊断为偏头痛、神经性头痛,治疗效果不佳。查体右枕区轻压痛,余无阳性体征。住院期间曾目击发作,3分钟缓解。脑电图示:各导联散在棘波或尖波。抗痫半个月症状缓
Edit comrades: headache, epilepsy often clinically sudden start and stop, recurrent headache, not accompanied by somatosensory, intermittent normal as the main performance. Some patients with epileptiform discharge in the EEG attack, anti-epilepsy treatment effective. The author encountered three cases in clinical work, the report is as follows. Example 1: Male, 12 years old. Hemorrhagic headache 2 years, was a beating headache, often accompanied by dizziness, sweating, nausea, and sometimes vomiting, continued to return to normal after 3-10 minutes. Each attack no obvious incentive, clear consciousness, no convulsions, dizziness after the attack. Has repeatedly diagnosed as migraine headache, neurological headache, poor treatment. Physical examination right occipital tender tenderness, I no positive signs. Witnessed the attack during hospitalization, 3 minutes relief. Electroencephalogram: The leads scattered spikes or spikes. Epilepsy half a month symptoms slow