异己手综合征8例临床特征分析

doi:10.3969/j.issn.1006-9771.2018.03.018

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (3): 342-346.doi: 10.3969/j.issn.1006-9771.2018.03.018

异己手综合征8例临床特征分析

高修明, 康硕, 刘苏玮, 江水华, 项洁

1.徐州医科大学附属医院康复科,江苏徐州市 221000;
2.徐州医科大学医技学院,江苏徐州市 221000

收稿日期:2017-11-27 修回日期:2018-02-11 出版日期:2018-03-25 发布日期:2018-03-27
通讯作者: 项洁。E-mail: xj1111@163.com
作者简介:高修明(1984-),男,汉族,江苏徐州市人,硕士,主治医生、讲师,主要研究方向：神经心理学。通讯作者：项洁(1968-),女,汉族,江苏南通市人,博士,主任医生、副教授,硕士研究生导师,主要研究方向：脑高级功能康复。

Clinical Characteristics of Alien Hand Syndrome: Eight Cases Report

GAO Xiu-ming, KANG Shuo, LIU Su-wei, JIANG Shui-hua, XIANG Jie

1. Rehabilitation Department, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221000, China;
2. Medical Technology College of Xuzhou Medical University, Xuzhou, Jiangsu 221000, China

Received:2017-11-27 Revised:2018-02-11 Published:2018-03-25 Online:2018-03-27
Contact: XIANG Jie. E-mail: xj1111@163.com

摘要/Abstract

摘要： 目的总结异己手综合征(AHS)的临床特征,探讨其发病机制及诊疗要点。方法回顾性分析2015年7月至2017年7月8例AHS住院患者的原发病、临床表现、影像学特点及预后。结果 8例AHS患者全部为脑血管病;临床表现多样,包括异己手8例、运动障碍8例、认知障碍5例、言语障碍4例、情感障碍3例;影像学提示病灶累及胼胝体8例、额叶8例、顶叶3例、颞叶2例、基底节区1例;经药物及康复治疗,4例治愈,2例好转,2例改善。结论 AHS的病因以脑血管病多见,多累及胼胝体及额叶,临床表现多样,预后良好。

关键词: 异己手综合征, 临床表现, 症状, 影像学, 预后

Abstract: Objective To report the clinical characteristics of alien hand syndrome (AHS). Methods Eight AHS inpatients from July, 2015 to July, 2017 were reviewed from the etiology, clinical manifestations, imaging characteristics and outcome. Results The etiology of the patients was cerebrovascular disease. The clinical features included alien hand (8 cases), movement disorder (8 cases), cognitive disorder (5 cases), speech disorder (4 cases) and affective disorder (3 cases). Imaging indicated the lesions involved callosum (8 cases), frontal lobe (2 cases), parietal lobe (3 cases), temporal lobe (2 cases) and basal ganglial region (1 case). There were four cases healing, two improving, two of remission after medicine and rehabilitation.Conclusion ASH is mainly resulted from cerebrovascular disease, in which callosum and frontal lobe are mostly involved, features in different forms, and prognoses well.

Key words: alien hand syndrome, clinical manifestations, symptom, imaging, outcome

中图分类号:

R741.041

高修明, 康硕, 刘苏玮, 江水华, 项洁. 异己手综合征8例临床特征分析[J]. 《中国康复理论与实践》, 2018, 24(3): 342-346.

GAO Xiu-ming, KANG Shuo, LIU Su-wei, JIANG Shui-hua, XIANG Jie. Clinical Characteristics of Alien Hand Syndrome: Eight Cases Report[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(3): 342-346.

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异己手综合征8例临床特征分析

Clinical Characteristics of Alien Hand Syndrome: Eight Cases Report

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