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痛性强直性发作,表现为发作性强直性肌肉收缩的同时伴有疼痛,其发作形式较固定,发生与终止均较突然。我们遇到二例报告如下: 例1:王××,男,56岁,住院号197156,因下肢麻木、疼痛二年,尿潴留、发作性四肢强直、屈曲二个月于1983年4月16日入院。二年前无原因的右下肢麻木、疼痛。二个月来出现左下肢麻木,下肢呈屈曲,伴有排尿困难,双下肢出现阵发性僵硬感。近一个月双上肢麻木,四肢呈发作性肌肉收缩,发作时伴有疼痛、出汗及心悸等,四肢呈屈曲状,持续1～2分,间歇数分钟,每日发作数十次。精神紧张易引起发作。发作先由四肢开始继之扩展到腹部。夜间仍有发作,疼痛较重,哭叫不安,睡眠时有所缓解。既往健康。
Painful tonic seizures, manifested as episodic ankylosing muscle contraction accompanied by pain, the form of attack is more fixed, the occurrence and termination are more sudden. We encountered two cases are reported as follows: Example 1: Wang × ×, male, 56 years old, hospital number 197156, numbness due to lower limbs, pain for two years, urinary retention, episodes of limb rigidity, flexion two months in April 1983 16 Day admission. Two years ago, the right lower extremity numbness and pain. Two months left numbness appeared lower limb flexion, accompanied by dysuria, both legs appear paroxysmal stiffness. Nearly a month, upper limb numbness, extremity were episodes of muscle contraction, seizures accompanied by pain, sweating and palpitations, limbs were buckling for 1 to 2 minutes, intermittent minutes, dozens of times a day attack. Mental stress can cause seizures. The first episode begins with the limbs and extends to the abdomen. There are still attacks at night, heavier pain, crying uneasy, relieve sleep. Past health.