脑卒中后偏身舞蹈症9例临床分析  

Clinical analysis of 9 cases of hemichorea after stroke

作　　者：王坤[1] 夏波 刘如成 WANG Kun;XIA Bo;LIU Ru-cheng(The Second People's Hospital of Huaiyuan County,Huaiyuan 233400,Anhui)

机构地区：[1]怀远县第二人民医院,安徽怀远233400

出　　处：《安徽卫生职业技术学院学报》2019年第1期38-39,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨卒中后偏身舞蹈症的临床特征、定位诊断与治疗预后。方法:回顾性分析9例脑卒中后偏身舞蹈症病例资料。结果:9例患者临床表现病灶对侧上下肢舞蹈样运动,影像定位在纹状体,给予多巴胺受体拮抗剂硫必利治疗后症状缓解或消失。结论:卒中后可出现多种锥体外系症状,舞蹈症相对多见。卒中后舞蹈症的治疗缺乏循证医学的证据,主要给予多巴胺受体拮抗剂等药治疗,预后良好。Objective:To further review the clinical features,localization diagnosis and prognosis of post-stroke hemichorea.Methods:A retrospective analysis of 9 cases of post-stroke hemichorea was performed.Results:Nine patients with clinical manifestations of the contralateral upper and lower extremity dance-like movements was analyzed,The image was located in the striatum,and the symptoms were relieved or disappeared after treatment with the dopamine receptor antagonist thiophene.Conclusion:A variety of extrapyramidal symptoms can occur after stroke,and chorea is relatively common.The treatment of chorea after stroke lacks evidence-based medicine,mainly for dopamine receptor antagonists and other drugs,and overall the prognosis is good.

关 键 词：脑卒中 偏身舞蹈症 纹状体 

分 类 号：R743.3[医药卫生—神经病学与精神病学]