1病例报告患者男性,40岁,反复发作性出现萤火虫样闪光感20余年,不伴意识障碍,每次持续1-2 min,随即症状自行消失。感冒咳嗽,打喷嚏时易诱发,且发作频率明显增加。一天前患者在睡眠中突发意识丧失,双目凝视,四肢强直,继而抽搐,口吐白沫,持续1 min(但这样的发作仅此一次)而于2005年11月17日就诊。无家族癫癎病史,病人亦无头部外伤史。查体:神经系统无阳性体征,双眼眼压、视力、视野、 1 Case Report Male patients, 40 years old, recurrent firefly-like flash-like flu more than 20 years, without consciousness disorder, each lasting 1-2 min, then the symptoms disappear. Cold cough, sneezing easily induced, and the seizure frequency increased significantly. One day prior to the onset of sleep, the patient became unconscious, with binocular gaze, stiff limbs, convulsions and foaming at the mouth for 1 min on November 17, 2005 (but only one such episode). No history of family history of epilepsy, the patient also had no history of head injury. Physical examination: no positive signs of nervous system, binocular pressure, visual acuity, visual field,