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患者女,52岁。近2周出现不明原因四肢抽搐,持续数分钟后自行缓解,无意识障碍、无呕吐。无家族史。体检:神志清楚,表情淡漠,反应迟钝,智力稍低;心肺听诊无异常,腹平软,肝脾肋下未触及;肌张力正常,四肢腱反射亢进。实验室检查:血及尿钙、磷、碱性磷酸酶正常。影像学表现:MRI示苍
Female patient, 52 years old. Nearly 2 weeks of unexplained limbs twitching, sustained self-ease after a few minutes, unconsciousness, no vomiting. No family history. Physical examination: conscious, apathetic, unresponsive, intelligence is slightly lower; cardiopulmonary auscultation no abnormalities, abdominal soft, liver and spleen ribs did not touch; muscle tone normal, limb tendon hyperreflexia. Laboratory tests: blood and urine calcium, phosphorus, alkaline phosphatase normal. Imaging findings: MRI showed Cang