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例1 男,17岁,蒙族。患者3年前发病。一次乘车去亲戚家,下车后出现嗜睡症状,1周后缓解。此后,间隔2周或1个月发作1次,发作时表现为嗜睡,难于叫醒,醒后食量明显增大,如按进餐时间叫醒食量略大于平素。表情呆滞,时而歌唱,有拥抱异性及玩弄生殖器等表现。每次约持续1周左右自行缓解。事后对发作期间的行为多不能回忆。干素性格孤僻,学习成绩差。病后4个月来诊。神经系统查无阳性体征,并无肥胖。腰穿、脑脊液化验正常,头部CT检查未见异常,颅侧位片正常,EEG可见阵发性、弥漫性高中幅4～7次/秒θ波,以后头部明显,双侧脑波对称。诊断为Kleine-Levin综合征。给予卡马西平0.1g,每日3次口服,症状迅速控制。服用半年自行停药后,再次出现嗜睡发作。再次服用卡马西
Example 1 male, 17 years old, Mongolian. Patient onset 3 years ago. A ride to relatives, got off symptoms after lethargy, relieved after 1 week. Since then, an interval of 2 weeks or 1 month attack 1 time, the performance of the lethargy during the attack, it is difficult to wake up, wake up significantly increased appetite, such as wake up eating time slightly more than usual. Dull expression, sometimes singing, hugging the opposite sex and playing genitals and other performance. Each about about 1 week to ease themselves. After the episode of the behavior can not remember more. Dry personality lonely, poor academic performance. 4 months after diagnosis. Nervous system no positive signs, no obesity. Lumbar puncture, normal cerebrospinal fluid test, head CT examination showed no abnormalities, normal cranial slice, EEG paroxysmal, diffuse high school 4 ~ 7 times / second theta waves, after the first obvious head, bilateral brain wave symmetry . Diagnosis of Kleine-Levin syndrome. Give carbamazepine 0.1g, 3 times a day orally, the symptoms quickly controlled. After taking six months of self-stop, appear again drowsiness attack. Take carbamazil again