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皮层源性腭震颤(PT)文献报道极少。本文报告1例经脑电图(EEG)、单光子发射断层扫描(SPECT)和正电子发射断层扫描(PET)证实的患者。 患者,17岁,男性。15岁出现右侧下面部和舌抽搐,抽搐呈进行性加重,清醒和睡眠时均存在。17岁时神经系统检查发现连续的节律性PT,伴口周肌肉和口角抽搐,以右侧为著,右上肢有极为分散的同步震颤。有上肢腱反射活跃,右手有轻度共济失调。患者入院前曾有5次右面部和该侧上下肢强直性发作,继发意识障碍。EEG呈局部持续状态改变,即左额中央区出现节律性δ活动和棘波,电视EEG和肌电图显示右面部抽搐和PT同步有节律地出现,频
Cortical-derived palatal (PT) literature rarely reported. This article reports 1 patient who was confirmed by EEG, SPECT and PET. Patient, 17 years old, male. 15-year-old appeared on the right side of the lower part of the tongue and convulsions, seizures were progressive increase in sober and sleep are present. At the age of 17, neurological examination revealed continuous rhythmic PT, accompanied by perioral muscles and mouth twitches, to the right, with very scattered synchronized tremor in the right upper extremity. Upper extremity tendon reflexes, mild right ataxia. Patient admitted to the hospital had 5 times before the right side of the upper and lower extremity and ankylosing attack, secondary consciousness disturbance. EEG showed a local persistent state change, that is, the rhythmic δ activity and spike appeared in the central region of the left forehead. The TV EEG and EMG showed that the right facial seizures and PT appeared synchronously and rhythmically