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男,50岁,1987年2月28日入院。缘于1979年无明显原因出现易激动、多汗,稍凉即引起口周麻木、手足搐搦等症状。于1986年6月反复出现四肢抽搐,每次头后仰,眼球上翻,意识丧失,持续2～3min,过后不能回忆,多于劳累、紧张后发病,平素每月发作1～2次,重时1d 数次。1985年患有双眼白内障,否认高血压、脑外伤史。检查神志清、智能可,查体合作,血压16/11kPa。头颅端正,未见中枢性面舌瘫,颈软,活动无受限。心肺未闻及异常。四肢肌张力正常,肌力Ⅴ级,腱反射++,未引出锥体束征,脑膜刺激征阴性。血沉12mm/h,胆固醇4.3153mmol/L,β—脂蛋白0.485g/L,甘
Male, 50 years old, admitted to hospital on February 28, 1987. Due to 1979 there was no obvious reason for irritability, sweating, cold, causing perioral numbness, tetany and other symptoms. Repeated in June 1986 limbs twitching, each head backwards, eye up, loss of consciousness, sustained 2 ~ 3min, after the memory can not be more than fatigue, tension after the onset, usually attack 1 to 2 times per month, weight When 1d several times. In 1985 with binocular cataracts, denied hypertension, history of brain trauma. Check the mind clear, smart, physical examination, blood pressure 16 / 11kPa. Head straight, no central face paralysis, neck soft, activity is not limited. Cardiopulmonary unknown and abnormal. Limb muscle tone normal, muscle grade Ⅴ, tendon reflex ++, did not lead to pyramidal tract signs, meningeal irritation sign negative. ESR 12mm / h, cholesterol 4.3153mmol / L, β-lipoprotein 0.485g / L, Gan