Chinese Journal of Applied Clinical Pediatrics 2014;29(9):716-718

doi:10.3760/cma.j.issn.2095-428X.2014.09.020

Sleep frequent tongue bite

Lei GAO ; Liping ZOU ; Linyan HU ; Jun JU ; Yujie LIU ; Xiaoqiao CHEN ; Xiuyu SHI

Keywords

Tongue bite; Automatism; Frontal lobe epilepsy; Traumatic epilepsy

Country

China

Language

Chinese

Abstract

The 10-month baby boy,with normal development,mainly due to sleep in frequent tongue bite nearly 4 months.Bitten his tongue after faring asleep,biting bleeding,bite pain awake.Many of his tongue ulcers,serious impact 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.