病例报告 例1,男,60岁。因口角不自主运动半年余于1996年11月22日入院。患者于半年前因突发左侧肢体无力,眼前发黑,而摔倒在地,但很快恢复。2天后又感左下肢麻木,逐渐出现舌根发硬,口齿不清,口角不自主扭动,撅嘴等动作。发病一周时症状加重,表现为频繁、无规律的口角向左右歪,咧嘴、吐舌、撅嘴等动作同时伴有情绪兴奋,说话不清。睡眠时消失,安静时减少,激动时增加。主观努力抑制可达半小时不动,过后反而加剧。发病后,无意识障碍,不伴头痛、头晕、视物不清、吞咽返呛,无肢体不自主活动及活动不灵。曾在外院服用安坦2mg每日三次,治疗7天后效 Case report 1, male, 60 years old. Due to the mouth involuntary movement more than six months in November 22, 1996 admission. Patients six months ago due to sudden left limb weakness, eyes black, but fell to the ground, but soon recovered. 2 days after the left lower limb numbness, and gradually appear stiff tongue, slurred speech, mouth involuntary twisting, pouting and other movements. The onset of symptoms a week later, manifested as frequent, irregular crooked left and right crooked, grinning, tongue, pout and other activities accompanied by emotional excitement, vocal. Disappear during sleep, decreased when quiet, increased when excited. Subjective efforts to inhibit up to half an hour fixed, but later intensified. After onset, unconsciousness, without headache, dizziness, blurred vision, swallowing back to choke, no limb involuntary activities and activities are not working. Antan 2mg once daily taken outside the hospital three days after treatment for 7 days