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肢痛性癫痫临床较少见,现将两院收治的8例综合报道如下。 临床资料 男5例,女3例.年龄3～12岁。病程1年内4例,1～2年2例,2年以上2例。8例中1例有癫痫家族史,1例有抽动综合征。肢痛表现为膝关节疼痛1例,踝关节疼痛1例,单下肢疼痛2例(其中1例伴乏力),双下肢疼痛2例(其中1例伴肢体发麻),四肢手足掌心疼痛1例,颈背脊柱疼痛伴乏力1例。肢痛均呈发作性,每次发作部位及表现相同,发作时肢体外观无异常,发作间歇期患儿表现正常。8例神经系统检查均无阳性体征,经观察及必要的辅助检查可排除关节、肌肉、神经及血管的病变。8例中有3例曾误诊为风湿性关节炎,2例曾误诊为生长痛。
Arterial epilepsy clinical rare, now admitted to the hospital two cases were reported as follows. Clinical data of 5 males and 3 females, aged 3 to 12 years old. Course of disease within 1 year in 4 cases, 1 to 2 years in 2 cases, 2 years in 2 cases. One of 8 patients had a family history of epilepsy, and one had tic syndrome. 1 case of knee pain, 1 case of ankle joint pain, 2 cases of single lower extremity pain (1 case with weakness), 2 cases of lower extremity pain (1 case with tingling of the limb), 1 case of palmar and palmar pain , Back of the neck pain with fatigue in 1 case. All the pains were seizures, each site and performance of the same episodes, no abnormalities in the appearance of seizures, intermittent episodes of children with normal performance. There were no positive signs in 8 cases of neurological examination. The pathological changes of joints, muscles, nerves and blood vessels could be ruled out by observation and necessary auxiliary examination. Three of the eight cases had been misdiagnosed as rheumatoid arthritis and two had misdiagnosed as growth pain.