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患者男性,39岁,9年前突发右视野视物看不清(呈偏盲),在当地医院按脑梗死治疗2周有好转。6年前突发说话答非所问,命名困难,经治疗有好转。4年前反复发作左右交替视物不清,反应迟钝,智力下降;反复发生抽搐伴意识不清,持续2-3s缓解,平均2个月发作1次,给予苯妥英钠,卡马西平治疗。2年前逐渐发现双耳听力下降,双眼不能看清眼前物体。从无头痛、呕吐,以及明显的肢体麻木无力。按“多发性脑梗死”给予中药活血治疗及B族维生素等治疗无效。转北京神经内科会诊中心诊治。
Patients, male, 39 years old, 9 years ago suddenly right field of vision can not see (partial hemianopia), cerebral infarction in the local hospital for 2 weeks have improved. Six years ago suddenly speak nonsense, naming difficulties, the treatment has improved. 4 years ago repeated seizures alternating blurred vision, unresponsive, mental decline; repeated convulsions with confusion, sustained 2-3s ease, an average of 2 months attack 1, given phenytoin sodium, carbamazepine treatment. 2 years ago, gradually found that hearing loss of both ears, eyes can not see the immediate object. From no headache, vomiting, and obvious limb numbness. According to “multiple cerebral infarction” to give traditional Chinese medicine to promote blood circulation and vitamins B treatment ineffective. Beijing Neurology Department consultation center diagnosis and treatment.