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作者报道五例非胰岛素依赖性糖尿病,其中四例表现为局限性癫痫,检查意外地发现有高血糖,但无酮症,未发现可能引起癫痫的其他原因。对抗痉厥药无效,但应用胰岛素或磺脲类药物治疗糖尿病而控制了局限性发作。患者二男三女,年龄54至86岁。表现为一侧上肢或面部局限性运动性发作,1例有Jackson氏发作。每次发作一至数分钟,最长持续30分钟。四例发作时意识清楚,一例伴失神。发作间歇期可发现多种症状:患肢一过性弛缓性瘫痪或痉挛性瘫痪,感觉丧失、共济失调、颅神经症状有面肌瘫痪、构音及发音障碍等。血糖最高达838mg%,最低254mg%。无酮尿。三例血浆渗透压正常,一例轻度增高。除一例发作期脑电图呈左颞轻度慢活动外,其余病例脑电图和CT检查未发现
The authors reported five non-insulin-dependent diabetes mellitus, four of which showed localized epilepsy. Unconsciously, they found hyperglycemia but no ketosis and no other cause of epilepsy was found. Anticonvulsant drug invalid, but the application of insulin or sulfonylurea treatment of diabetes and control the limitations of the attack. Two men and three women, aged 54 to 86 years. Showed as one side of the upper extremity or facial limitations of sports seizures, 1 case of Jackson’s attack. Each attack one to several minutes, the longest duration of 30 minutes. Four episodes of awareness clear, one with the absence of God. Intermittent seizures can be found in a variety of symptoms: a transient flaccid paralysis limb or spastic paralysis, loss of consciousness, ataxia, cranial nerve symptoms have facial paralysis, dysarthria and dysphonia. Blood glucose up to 838mg%, the lowest 254mg%. Urinary Ketone Three cases of normal plasma osmolality, a case of mild increase. Except for one episode of EEG, which showed mild left-temporal slow activity, the remaining cases were not found by EEG and CT