睡眠中频繁发作性咬舌  

Sleep frequent tongue bite

作　　者：高蕾[1] 邹丽萍[1] 胡琳燕[1] 鞠俊[1] 刘玉洁[1] 陈小桥[1] 石秀玉[1] 

机构地区：[1]中国人民解放军总医院儿童医学中心,北京100853

出　　处：《中华实用儿科临床杂志》2014年第9期716-718,共3页Chinese Journal of Applied Clinical Pediatrics

摘　　要：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。脑电图睡眠期左侧额区、中央前颞区痫样放电，睡眠期咬舌同步未见相关异常放电。最后诊断外伤性癫痫，额叶癫痫自动症导致舌咬伤伴创伤性舌溃疡。口服氯硝西泮0．25mg，每晚1次，当晚症状消失，夜间睡眠安稳1个月后，复查舌尖破溃已痊愈。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。The 10-month baby boy, with normal development, mainly due to sleep in frequent tongue bite nearly 4 months. Bitten his tongue after falling asleep, biting bleeding, bite pain awake. Many of his tongue ulcers, serious im- pact on children＇s lives ,family companionship in suffering. History found in the supplementary week before the onset of the left frontal children hurt skin bruising. Electroencephalogram showed ： Sleep of epileptiform discharges in the left frontal and central anterior temporal areas, but bite the tongue during sleep electroencephalogram synchronization no relevant abnormal discharge. The final diagnosis of traumatic epilepsy ,frontal lobe epilepsy syndrome automatically lead to tongue bite tongue with traumatic ulcers. Oral Clonazepam 0. 25 mg before sleep, the symptoms disappeared that night, nighttime sleep peacefully. His tongue ulceration has healed after a month. Readers are advised to take advantage of these key parts of the diagnostic process and diagnostic thinking or diagnostic procedures, combined with their own clinical practice, serious thinking, learning, summarized, and benefit from it.

关 键 词：舌咬伤 自动症 额叶性癫痫 外伤性癫痫 

分 类 号：R742.1[医药卫生—神经病学与精神病学]