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作者报道1例以失语为唯一临床表现的癫痫病例。男性,45岁,右利手,患左颞叶多形性成胶质瘤,外科部分切除术后行全脑放疗及卡氮芥(BCNU)静注治疗,并服大仓丁(PHT)预防癫痫。术后恢复良好,仅偶感记忆人名困难。术后7月因突然说话不能而入院。体检:神精,除右旋前肌轻度偏斜外,余无异常。言语测验中,他只能重复说1～2个单词,不能命名物体,仅能领会简单指令。血清PHT浓度为14.7μg/ml(治疗浓度为10～20μg/ml),EEG
The authors report 1 case of aphasia as the only clinical manifestations of epilepsy cases. Male, 45 years old, right hand, suffering from left temporal lobe glioblastoma multiforme, after partial surgical resection of the whole brain radiotherapy and BCNU intravenous therapy, and take large warehouse (PHT) prevention epilepsy. Postoperative recovery is good, only occasional memory of names difficult. Postoperative July due to sudden speech can not be admitted. Physical examination: Shen Jing, in addition to mild dextral right anterior skew, I no exception. In verbal tests, he can only repeat 1 to 2 words, can not name the object, can only understand simple instructions. Serum PHT concentration of 14.7μg / ml (treatment concentration of 10 ~ 20μg / ml), EEG