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患者,女,21岁。五胎五生,足月顺产,生长发育正常。近一年来约每个月发作一次无任何原因的哭泣、流泪,每次持续(?)—6分钟。每次发作前的一瞬间有大便感,欲解时即出现双泪长流,哭声恸人,他人劝说无任何反应。无大小便失禁。事后对哭泣毫无记忆。缓解时检查:神志清楚,智能良好。内科及神经系统均未见阳性体征。眼底正常。脑电图描记:各区出现阵发性高波幅Q及δ节律,两颞额区明显,有时向其他导联扩散。诊断为哭泣性癫痫。服硝基安定5mg一日三次。治疗后三个月仅发作一次、且持续时间较前短,至今已六个月未再发作。
Patient, female, 21 years old. Wushen Wu, full-term natural delivery, growth and development of normal. About a month or so a year without any reason to cry, cry, each lasting (?) - 6 minutes. Each episode of the moment before a sense of stool, to be resolved when the double tears flow, cries, others persuade no response. No incontinence There is no memory of crying afterwards. Relief check: Conscious, intelligent good. No signs of internal medicine and nervous system. Fundus normal. Electroencephalography: the area of paroxysmal high amplitude Q and δ rhythm, the two temporal frontal area obvious, and sometimes spread to other leads. Diagnosis of crying epilepsy. Nitrazepam 5mg three times a day. Only three attacks after treatment once, and the duration is shorter than the previous, has not been six months so far.