虽然国内有大宗关于甲状旁腺机能减退(简称甲旁减)引起锥体外系多种症状的报告,但未见甲旁减致单肢舞动运动的报告。现在报告1例如下。 病例摘要 男,34岁。近3年无明确诱因出现反复双手搐搦及发作性左下肢大幅度不自主舞动。舞动表现为迅速向左外上方踢起,瞬间即向下拍击地面或床面,每次发作持续10～40分钟,情绪激动时易发作,睡眠时从未发作,发作时意识清楚。曾诊断为“癫痫”,长期服用苯妥英钠及苯巴比妥无效。既往健康。家族中无类似病人。查体:神清,智力减退,双手间歇性搐搦发作,左下肢发作性舞动运动,发作间隙,四肢肌力肌张 Although there are a large number of reports of various extrapyramidal symptoms caused by parathyroid hypothyroidism (abbreviated as parathyroidism), no report of single-limb galloping near parachutes has been reported. Now report a case as follows. Case summary Male, 34 years old. In the past 3 years there was no clear incentive to repeatedly convulsions and episodes of left lower extremity substantial involuntary movements. Dancing performance for the rapid kick to the left outside the top, the instant that is down on the ground or bed surface, each episode lasts 10 to 40 minutes, emotionally motivated to attack, sleep never attack, episode conscious. Had diagnosed as “epilepsy”, long-term use of phenytoin and phenobarbital invalid. Past health. No similar family in the patient. Examination: Shenqing, mental retardation, his hands intermittent convulsions attack, left lower extremity stroke dancing, seizures, limb muscle strength Zhang