睡眠中频繁发作性咬舌
Chinese Journal of Applied Clinical Pediatrics(2014)
Abstract
患儿,男,10个月,发育正常,主因“睡眠中频繁舌咬伤近4个月”就诊.患儿痛苦万分,舌尖咬伤,每次均咬破流血,疼醒,舌面多处出现溃疡,严重影响患儿及家人的生活.补充病史发现患儿发病前1周左额部摔伤,表皮发绀.腑电图睡眠期左侧额区、中央前颞区□样放电,睡眠期咬舌同步末见相关异常放电.最后诊断外伤性癫□,额叶癫□自动症导致舌咬伤伴创伤性舌溃疡.口服氯硝西泮0.25 mg,每晚1次,当晚症状消失,夜间睡眠安稳1个月后,复查舌尖破溃己痊愈.建议临床医师抓住诊断思路或诊断过程以及诊断流程这些关键部分,结合自己的临床实践,认真思考、学习、总结,并从中获益.
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Key words
Tongue bite,Automatism,Frontal lobe epilepsy,Traumatic epilepsy
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