病例摘要:患者男,36岁,因间断抽搐一周加重4小时于1995年5月16日入院。患者半年前因昏迷、抽搐在本市某医院就医。诊为“病毒性脑炎”,住院治疗一个月痊愈出院,出院后未再出现抽搐。一周来无明显诱因间断全身抽搐4次,每次持续30秒至1分钟,抽搐时意识丧失,口吐白沫,两眼上翻。入院前2天出现咽痛、鼻塞、流涕。入院前4小时开始频繁抽搐,大约每小时发作一次,发作间期出现头昏、乏力,思睡等症状。查体:T、P、R、BP均正常。神志清楚,精神差,瞳孔大小及对光反射正常。颈软。腹平软,肝脾未触及,四肢肌力肌张力正常,未引出病理反射。辅助检查:胸片、心电图正常,头颅CT平扫未见异常,脑电图报告为严重不正常脑电图。脑脊液常规:无色透明,糖5.6mmol/L,蛋白 Case Summary: Male, 36 years old, admitted to hospital on May 16, 1995 due to intermittent seizures aggravating for 4 hours a week. Six months ago due to coma patients, convulsions in a hospital in the city for medical treatment. The patient was diagnosed as “viral encephalitis” and was hospitalized for one month and recovered. No convulsions were seen after discharge. A week without obvious incentive to intermittent systemic twitching 4 times, each lasting 30 seconds to 1 minute, convulsions loss of consciousness, foaming at the mouth, his eyes upturned. 2 days before admission, sore throat, nasal congestion, runny nose. 4 hours before admission, frequent convulsions, about once an hour attack, seizures appear dizziness, fatigue, sleepiness and other symptoms. Physical examination: T, P, R, BP are normal. Consciousness, poor spirits, pupil size and light reflexes are normal. Neck soft. Abdomen soft, liver and spleen not touched, muscle tone muscle tone normal, did not lead to pathological reflex. Auxiliary examination: chest X-ray, normal ECG, cranial CT scan showed no abnormalities, EEG reported as severe abnormal EEG. Cerebrospinal fluid routine: colorless and transparent, sugar 5.6mmol / L, protein