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患者男,34岁,法医。因反复出现阵发性意识丧失伴全身抽搐1月,于1989年6月17日入院。患者于1989年5月19口中午感头昏,嗜睡,1小时后突发意识丧失,两眼球上翻,口吐白沫,全身抽搐,5分钟后自行缓解,5月22日再次出现类似发作一次。6月4日晨患者突然尖叫一声,头向左侧偏斜,意识不清,伴面部肌肉抽动及右手搐搦,10分钟后抽搐停止。6月13日晚患者突感左手发硬、持物不稳,后出现左手搐搦、双跟凝视,口齿不清,焦虑,烦躁,自觉饥饿而吞食大馍,并有右手无意识的摸索动作,15分钟左右症状缓解。患者平时身体健康,家族成员中无类似病史,体检:神志清楚,构音障碍,声调降低,欣快,言语多。眼底检
Patient male, 34 years old, forensic. Due to repeated episodes of paroxysmal loss of consciousness with generalized convulsions in January, on June 17, 1989 admission. Patients in May 1989 19 mouth noon sense of drowsiness, lethargy, sudden loss of consciousness after 1 hour, the two eyes turn up, foaming at the mouth, body twitching, 5 minutes after spontaneous relief, again on May 22 similar episodes once. On the morning of June 4, the patient suddenly screamed, his head deflected to the left, unconsciousness accompanied by facial muscle twitching and right-twitch, and his convulsions stopped after 10 minutes. On the evening of June 13, the patient suddenly felt his left hand stiff and unstable. After that, his left hand convulsions, his gaze, his teeth, anxiety, irritability and conscious hunger swallowed him. His right hand unconsciously groping for 15 minutes About symptoms relieved. Patients usually healthy, no similar family members history, physical examination: conscious, dysarthria, tone reduction, euphoria, speech and more. Fundus examination