1例头痛性癫痫被误诊10年的教训

来源 :临床误诊误治 | 被引量 : 0次 | 上传用户:ychhome
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
病例:女,52岁。10年前因丧偶悲伤后出现阵发性头昏头痛,每次历时数分钟至数十分钟不等,以头顶部为著,不伴呕吐和抽搐,无意识障碍。曾在县市级以上医院作过多种检查未发现异常,诊断为神经官能症或血管神经性头痛等,服用过安定、颅通定等药,症状时稳时现。本次因工作劳累后上述症状加重,且伴有眼花,随后感四肢乏力,发作次数亦明显增加,每天5~10次。体格检查(包括神经系统)均无阳性发现。血尿便常规、肝功能、肾功能无异常。胸透及心电图正常。脑血流图检查:前脑左右波幅差33%,考虑为血管神经性头痛和更年期综合征?先后给予维磷补汁、更年康、谷维素、颅通定和中草药治疗,症状无明显改善。不久其子来院探访,医师发现他头颅较大与身体比例不协调,且智能低下。追问病史得知此人除发育不良、智力低 Case: Female, 52 years old. 10 years ago after the spouse grieved paroxysmal dizziness headache, each time ranging from minutes to tens of minutes to the top of the head is not accompanied by vomiting and convulsions, unconsciousness. Have been in the county level above the hospital made a variety of tests found no abnormalities, diagnosed as neurosis or vascular neuropathic headache, taking stability, craniotome and other drugs, when the symptoms appear stable. The work of fatigue after the above symptoms aggravated, and accompanied by vertigo, then feeling limb weakness, the number of seizures also increased significantly, 5 to 10 times a day. No physical examination (including the nervous system) were found. Hematuria routine, liver function, renal function without exception. Thoracic and electrocardiogram normal. Cerebral blood flow test: the amplitude of the left and right forebrain difference of 33%, consider the vascular neuropathic headache and menopausal syndrome? Have given Victoria Pian replenishment, more annual health, oryzanol, craniofacial and Chinese herbal medicine treatment, no significant improvement in symptoms. Soon his son came to visit the hospital, the doctor found that his head larger and the body does not match the ratio, and mental retardation. Asked the medical history that this person in addition to stunting, mental retardation
其他文献
1-[2-(2,4-二氯苯基)-2-(4-氯苯甲硫基)乙基]-1H-咪唑硝酸盐 1- [2- (2,4-Dichlorophenyl) -2- (4-chlorobenzylthio) ethyl] -1H-imidazole nitrate
Fluconazole是一种新的三唑类口服抗真菌药物,其在动物脑脊液中可达到很高的浓度,对动物球孢子菌脑膜炎的治疗有效。本文报道了用Fluconazole治疗8例球孢子菌脑膜炎患者的药
出于对Internet电子商务的政策化考虑,网络交易最发达美国开始重园网络税收美梦,其中路易斯安那州对待征收网上交易税的态度是严肃认真的,他们于最近警告了该州的Web经销商
市场经济的发展,国民收入的持续增加,个人收入也在不断上升,由此个人所得税的收入潜力和调节作用越来越明显。江泽民同志在党的十五大报告中明确指出:“调节过高收入,完善个人所得税制……规范收入分配,使收入差距趋向合理,防止两极分化。”因而当务之急是尽快完善...
利福平滴眼液对热不稳定随着温度升高和/或时间延长其含量逐渐下降。为了探讨本院制的利福平滴眼液在室温条件下的保存期,我们采用化学降解动力学(恒温加速破坏)法进行预测
综述了羟基哌喹的化学、对实验性疟疾和矽肺的疗效、毒性以及对疟疾和矽肺的临床疗效。 This review summarizes the chemotherapeutic effects of hydroxyperpene, the eff
氢氧化铝配制方法一般都采用10%明矾液加入12%碳酸钠液内,温度控制在50℃左右,慢慢混合,经反应后制得: Aluminum hydroxide preparation methods are generally used 10% a
为了提高FHF存活率,我们应用上海活性炭厂研制的油棕炭,以火棉胶包裹、肝素液浸泡,装入不锈钢吸附罐内作为吸附型人工肝辅助装置的主要部分(吸附剂罐)。 对20只正常大进行持
本文用正常饲料(0.5%Na~+)或低钠饲料(0.05%Na~+)喂养的Sprague—Dawley,Wistar,WKY和SHR四种大鼠进行试验。取其门脉进行灌流,测定了血管紧张素对场刺激(480次,2Hz,持续1mse
本文使用热稀释法测得26条狗CO值,并以此求出95%正常值范围。此外,尚就CO与性别、体重之关系予以探讨。 In this paper, the thermo-dilution method was used to measure th