CISS分型中看急性脑梗死致偏身舞蹈症  

CISS Typing Hemichorea Caused by Acute Cerebral Infarction

作　　者：韩斌[1] 赵路清[1] 胡风云[1] 

机构地区：[1]山西省人民医院,山西太原030012

出　　处：《山西职工医学院学报》2014年第3期17-19,共3页Journal of Shanxi Medical College for Continuing Education

摘　　要：目的：通过对急性脑梗死所致偏身舞蹈症临床分析，讨论其发病特点、病因及治疗。方法：收集2009-2013年就诊于山西省人民医院的23例偏身舞蹈症患者，对其临床表现、实验室检查、影像学表现、治疗及预后进行回顾性分析。结果：基底节区脑梗死22例，大面积脑梗死1例；脑卒中后24 h内出现偏身舞蹈症症状者达22例。23例均应用氟哌啶醇治疗，20例1-3 d后症状开始减轻（其中15例6-7 d后症状消失，5例1个月后症状明显减轻），另3例症状无改善。结论：急性脑梗死是偏身舞蹈症的主要病因之一，病灶以基底节为主，氟哌啶醇治疗有效。Objective：To discuss the characteristics of its incidence,etiology and treatment by hemichorea clinical cases caused by acute cerebral infarction. Methods：The clinical manifestations,laboratory tests,imaging findings, treatment and prognosis were retrospectively analyzed among 23 patients with the hemichorea in the hospital from 2009 to 2013 . Results：22 cases were caused by the basal ganglia infarction;1 case of massive cerebral infarction;22 cases of Hemichorea after stroke symptoms occurred within 24 h. 23 cases were applied haloperidol treatment. 20 cases after symptoms began to ease during 1 to 3 days（ in which 15 cases after symptoms disappeared during 6 to 7 day,5 cases a month after symptoms significantly reduced）,The other 3 cases were no improvement of symptoms. Conclusion：The acute cerebral infarction is one of the main causes of hemichorea with the basal ganglia mainly as lesions. It turns out that the haloperidol treatment is effective.

关 键 词：急性脑梗死 偏耳舞蹈症 氟哌啶醇 

分 类 号：R743[医药卫生—神经病学与精神病学]