病例:患者,男性,74岁。患类风湿性关节炎27年,常反复发作,长期服用雷公藤制剂,间断应用消炎通栓,效果较好。2001年7月14日患者晨起后突然出现言语迟缓,伴语速稍加快时严重刻板言语,即只能单纯反复一个字,并伴有剧烈摇头样动作。端坐时双下肢不自主大幅度蹦跳,或站立时双膝以下酸软,持续约2小时。住院后检诊发现患者右下 Case: Patient, male, 74 years old. 27 years suffering from rheumatoid arthritis, often recurrent, long-term use of Tripterygium preparations, intermittent use of anti-inflammatory suppository, the effect is better. On July 14, 2001, patients suddenly began to slow down after morning morning. When the speed of accompaniment was slightly increased, they were severely stereotyped, that is, they could only repeat one word with vigorous shaking. Sit up when the lower extremities involuntary large jump, or the following knee when standing soft, lasted about 2 hours. Post-hospital examination found that patients lower right