《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (09): 836-837.

• 专题 • 上一篇    下一篇

偏侧舞蹈症15例临床及神经影像学分析

张小英; 于学英; 周筠; 王拥军   

  1. 首都医科大学附属北京天坛医院神经内科,北京市 100050
  • 收稿日期:2008-05-06 出版日期:2008-09-01 发布日期:2008-09-01

Clinical and Neuroimaging Characteristics of Hemichorea:15 Case Report

ZHANG Xiao-ying, YU Xue-ying, ZHOU Yun, et al   

  1. Department of Neurology, Tiantan Hospital, Capital Medical University, Beijing 100050, China
  • Received:2008-05-06 Published:2008-09-01 Online:2008-09-01

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被引次数

9

摘要： 目的探讨偏侧舞蹈症的病因和发病机制。方法回顾性分析15例偏侧舞蹈症患者临床表现、神经影像学特点及药物治疗,并对部分患者随访0.5～4年。结果11例伴血糖增高;5例为基底节区腔隙梗死;10例可能与糖尿病导致的基底节区微血管病变有关。药物治疗13例,症状控制11例,1例无效,1例加重;2例症状轻不需服药。结论偏侧舞蹈症最常见的病因是脑血管病,而糖尿病导致的偏侧舞蹈症与微血管病变引起出血和缺血病变有关。

关键词: 偏侧舞蹈症, 糖尿病, 脑血管病, 微血管病变

Abstract: Objective To investigate the related factors of hemichorea.Methods 15 patients with hemichorea were analyzed retrospectively,including their clinical features,characteristics of neuroimaging and treatment.They were followed up for 0.5～4 years.Results The serum glucose increase in 11 cases.The lacunar cerebral infarctions in the area of basal ganglion were found in 5 patients,and the microvessel lesions in the area of basal ganglion resulted from diabetes mellitus in 10 patients.13 patients accepted medicine treatment,11 cases improved,1 case was ineffective,1 case deteriorated.Conclusion The hemichorea mainly related with cerebrovascular disease.The hemichorea due to diabetes mellitus may related with the ischemic or hemorrhagic microvessel lesions.

Key words: hemichorea, diabetes mellitus, cerebrovascular disease, microangiopathy