以抽动为主症的癫痫1例

1 Case of Epilepsia with Transient Tic Disorder

目的提高对癫痫患者特殊表现形式的认识。方法对我院1例中年患者以抽动症为主要表现的癫痫诊治过程的回顾分析。结果以间断不自主抽动10年余入院,患病10年间,于多家医院被误诊为"强制性脊柱炎、焦虑症、抽动症"等,于我院就诊,行动态视频脑电图监测诊断为"继发性癫痫"。给予拉莫三嗪片治疗后症状缓解,未再复发。结论癫痫表现形式多样,以抽动症为主要表现形式较为少见,易被误诊,应考虑癫痫可能,及时监测脑电图变化,可明确诊断减少误诊率。

Objective to improve the understanding of the special form of expression in patients with epilepsy. Meth- ods retrospective analysis 1 case of middle-aged patient with tourette syndrome as the main performance during the trea- ting process of epilepsyin in our hospital. Results the patient with intermittent involuntary twitch had been treated in hos- pital for ten years, many hospitals misdiagnosed it as ＂mandatory spondylitis, anxiety disorder, tourette syndrome＂, etc. , in our hospital, dynamic video EEG monitoring diagnosised it is the ＂secondary epilepsy＂. After be given lamotrigi- ne treatment, the symptoms was relieved, and not recured. Conclusion epilepsy has various expression forms, transient tic disorder syndrome is rarely as the main form of expression, so it is easily be misdiagnosed. We should consider it may be the epilepsy, and detect the EEG changes in time, in oder to reduce the misdiagnosis rate.