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男,12岁,病程二年。每当吃饭时即出现腹痛,意识朦胧,面色苍白,出汗,持续10分钟左右自行缓解,发作后疲乏无力,对发作过程不能回忆,发作次数不定,每次发作均在进食数口后发作。曾按胃炎、肠道蛔虫症治疗均无效。体检无阳性体征。血常规,肝功检查均正常,大便未查到蛔虫卵,胃钡餐透视正常。脑电图:有癫痫波形发放,过度换气异常波增多。诊断进食性癫痫。服苯妥英钠、丙戊酸钠,随诊半年未见复发。
Male, 12 years old, duration of two years. Abdominal pain, dimness of consciousness, paleness and sweating appear when eating. It lasts about 10 minutes to ease itself. After the episode, it is tired and weak. It can not recall the episode and the number of seizures is variable. Each episode occurs after eating a few mouthfuls. According to gastritis, intestinal Ascaris disease treatment were ineffective. No physical examination positive signs. Blood tests, liver function tests were normal, stool did not check the roundworm eggs, barium meal perspective. EEG: epileptic waveform distribution, hyperventilation abnormal wave increased. Diagnosis of eating epilepsy. Services phenytoin sodium, sodium valproate, followed up for six months no recurrence.