患者,十三岁,因头痛、恶心、呕吐3余月,行走不稳1个多月,并伴有双眼视物不清,于80年1月入院,入院前10多天来夜间入睡后经常出现阵发性不自主发笑,笑声常将其家长惊醒,笑时呼之不应,过后即进入沉睡状态。第二天问之患儿不能记忆。检查:神智清、双眼内斜视(生来即有)、素眼视力粗测未见明显异常,双眼底视乳头水肿,步态蹒跚,双侧指鼻试验均不准。双跟肠胫试验均为阳性,余未见明显异常。 Patients, thirteen years old, due to headache, nausea and vomiting more than 3 months, walking more than 1 month unsteady, accompanied by binocular vision is not clear, admitted to hospital in January 80, more than 10 days before admission to sleep after night often Occurrence of paroxysmal involuntary smiles, laughter often awakened to their parents, when the call should not laugh, then into the asleep state. Children asked the second day can not remember. Check: God clear, eyes esotropia (born to have), plain eyesight rough test no obvious abnormalities, binocular bottom nipple edema, gait hobbled, bilateral finger nasal test are not allowed. Double and intestinal shin test were positive, I found no significant abnormalities.