急性脑血管病致偏侧舞蹈症(附45例临床分析)

Clinical Analysis of Partial Chorea Caused by Acute Cerebral Angiopathy

目的 通过对急性脑血管病导致偏侧舞蹈症患者的临床分析,总结该病的发病原因及预后。方法 对4 5例急性脑血管病所致的偏侧舞蹈症患者的临床表现、实验室检查、影像学改变、治疗及转归情况进行回顾性分析。结果 4 5例偏侧舞蹈症中脑梗死4 0例,其中多发性腔隙性脑梗死37例,大面积脑梗死3例;脑出血5例,丘脑区小量出血3例,基底节区大量出血2例。在原发病治疗的基础上,应用氟哌啶醇,症状在7d内消失4 2例。结论 急性脑血管病为突发性偏侧舞蹈症的主要病因之一,以基底节区病变所致为主,在原发病治疗的基础上,应用氟哌啶醇治疗效果较好。

Objective To summarize the etiology and prognosis with analysis on partial chorea caused by acute cerebral angiopathy. Methods The clinical data of 45 cases partial chorea in clinical manifestation, lab test, imaging changes, treatment and recover were analyzed retrospectively. Results There were 40 cases cerebral infarction and 5 cases bleeding. Among them, there were 37 cases multiple lacunae infarction, 3 cases of large area infarction, 3 cases of small bleeding and large bleeding at basal ganglion. All cases were treated with aloperidin based on primary disease therapy and the symptom was disappeared within 7 in 42 cases. Conclusion The acute angiopathy was the main risk factor to cause the partial chorea. The aloperidin could reach good curative effect based on primary therapy.