论文部分内容阅读
男,75岁,因左肢不自主舞动1周,于1995年9月26日入院治疗,既往有高血压病史20余年,1994年曾患脑梗塞左侧偏瘫已治愈。本次发病于1995年9月20日晚吃饭时突然出现上肢不停地大幅度、无规律多变地扭转摆动,不时耸肩,肢体屈伸,左下肢亦不停地摆动踢腿,伴挤眉弄眼、呶嘴,不论坐、卧、行走均有连续不断舞动,难以抑制,每在情绪激动时加重,睡眠时消失。无头痛及智能障碍,无家族遗传病史。查体:BP24/14 kPa,神志清楚,左侧鼻唇沟变浅,左侧肢体肌力V~-,肌张力略高,腱反射+++,左侧肢体不自主舞蹈样多动,左侧Bubinski征(±),头颅CT扫描,右侧基底节区梗塞脑萎缩,心电图示心肌缺血,血脂:胆固醇5.0
Male, 75 years old, because of left limb involuntary movements for 1 week, was admitted to hospital on September 26, 1995, with a history of hypertension for more than 20 years. In 1994, he suffered a hemiplegia on the left hemiplegia. The incident occurred in the evening of September 20, 1995 when eating suddenly appeared in the upper limbs non-stop significantly, irregular changes in the swing, shrugs from time to time, limb flexion and extension, the left leg is also swinging kick, with Gemeimingong, 呶Mouth, regardless of sitting, lying, walking has continuous galloping, difficult to suppress, aggravating each emotion, sleep disappear. No headache and mental retardation, no family history of genetic disease. Examination: BP24 / 14 kPa, conscious, shallow left nasolabial fissure, left limb muscle strength V ~ -, slightly higher muscle tone, tendon reflexes +++, left limb involuntary dance-like hyperactivity, left Side Bubinski sign (±), cranial CT scan, right atrophy of the basal ganglia infarct, ECG myocardial ischemia, lipids: cholesterol 5.0