头痛型癫痫是一种特殊型式的癫痫,以头痛为其主要的临床表现。由于在诊断上易被忽略,作者就近二年来见到的二例作一介绍。例1为四岁男孩自出生第一天起即常有突然暴哭,面部和全身皮肤潮红和大汗淋漓。每次发作约3、5分钟,发作过后患儿完全恢复常态。稍长,于发作时,除暴哭等症状以外还要乱抓乱咬。及至二岁能说话时,诉说发作时主要是头部突然剧烈疼痛,分布在二颞和额顶部。几乎每日发作,虽睡梦中也难幸免。从无昏迷、抽搐、大小便失禁等。检查一般未见特殊,在发作时可见颞部、眼结膜充血、眼眶下皮肤出现粟粒状红疹。脑电图有痫样波。服苯妥英钠后发作次数由每日数十次减少到 Headache epilepsy is a special type of epilepsy, headache as its main clinical manifestations. As the diagnosis is easily overlooked, the author made two introductions in the past two years. Example 1: A four-year-old boy often had sudden loud crying from the first day of her birth, with flushing and sweating on her face and whole body. About 3.5 minutes per episode, the child returned to normal after the episode. Slightly longer, in the attack, in addition to crying and other symptoms but also indiscriminately bite biting. To two years old to speak, tell the attack is mainly a sudden severe head pain, located in the second temporal and frontal top. Almost daily attacks, although the sleep is also very lucky. From no coma, convulsions, incontinence and so on. No special examination in general, visible in the attack of the temporal, conjunctival hyperemia, infraorbital skin appear miliary rashes. EEG epileptiform wave. After taking phenytoin sodium episodes reduced from dozens of daily to