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笔者自1993年4月～1999年10月期间分别对15例血糖升高的晚发性癫痫患者进行单用抗癫痫药物治疗和抗癫痫药物加降糖治疗比较,结果提示4例患者单用抗癫痫药物治疗得到部分控制,其余11例无明显疗效。而加用降糖治疗后,所有病例,癫痫症状均得到了完全控制,现报告如下。1 临床资料15例临床确认的癫痫病人,其中男11例,女4例,最小年龄42岁,最大年龄75岁。均为首次出现癫痫发作,发作形式为单纯部分性发作。所有病例既往均未查空腹血糖,癫痫发作后次日查空腹血糖均高于正常,最低为12.6mmol/L,最高为21.3mmol/L。脑电图及头颅 CT 均未发现明显异常。治疗均用卡马西平0.1,1日3次口服,重症患者临时加用安定
The author from April 1993 to October 1999 were 15 cases of elevated blood sugar in patients with epilepsy alone antiepileptic drugs and antiepileptic drugs plus hypoglycemic treatment compared results suggest that 4 patients with single anti- Epilepsy drug treatment was partially controlled, the remaining 11 cases without significant effect. And add hypoglycemic treatment, all cases, epilepsy symptoms have been completely controlled, are as follows. 1 Clinical data 15 cases of clinically confirmed epilepsy patients, including 11 males and 4 females, the youngest age of 42 years, the maximum age of 75 years. The first occurrence of seizures, seizures in the form of a simple partial seizures. Fasting blood glucose was not detected in all cases. The fasting blood glucose was higher than normal after the seizure the next day, the lowest was 12.6mmol / L and the highest was 21.3mmol / L. EEG and cranial CT were found no significant abnormalities. Treatment were carbamazepine 0. 1, 1 orally 3 times, severe patients with temporary stability