论文部分内容阅读
例1:男,6岁。足月顺产。无脑膜炎、脑炎、脑及膝关节外伤史。3岁时突然双膝关节剧痛难忍,持续10～30min骤止,伴尿便失禁,无意识障碍和抽搐,每年发作数次至每月2～3次。曾多次到外院就诊,考虑癔病、风湿性关节炎。止痛剂治疗无效。因膝关节痛发作来我院就诊,其时关节痛已消失,四肢、关节、神经系统无异常。血象、血沉、抗“O”、脑脊液、X线双膝关节正侧位片均正常,类风湿因子(一)。脑电图中度异常,有高幅尖波、棘波。诊断膝关节痛性癫痫。服苯妥英钠0.05g,苯巴比妥钠0.01g,3次/d。随访1年无关节痛发作。 例2:女,8岁。无足外伤史。
Example 1: Male, 6 years old. Full-term follow-up. No meningitis, encephalitis, brain and knee history of trauma. Suddenly when the age of 3, the knee joint painful, lasted 10 ~ 30min stop with urinary incontinence, unconsciousness and convulsions, seizures several times a year to 2 to 3 times per month. Have repeatedly to the hospital for treatment, consider hysteria, rheumatoid arthritis. Painkiller treatment is invalid. Because of knee pain onset to our hospital, when the joint pain has disappeared, limbs, joints, nervous system without exception. Blood, erythrocyte sedimentation rate, anti-O, cerebrospinal fluid, X-ray bilateral knee joint are normal, rheumatoid factor (a). EEG moderate abnormalities, high sharp spikes, spikes. Diagnosis of knee painful epilepsy. Phenytoin sodium 0.05g, sodium phenobarbital 0.01g, 3 times / d. Follow-up 1 year without joint pain episodes. Example 2: Female, 8 years old. No history of traumatic injury.