患者男,45岁,因“不自主运动3年,加重1周”于2011年11月17日入院。患者于3年前无明显诱因出现舌及身体不自主运动,初期仅为双手不自主抖动,偶有口内舌动及溃疡。约半年后出现四肢不自主屈伸动作,不能开车;撅嘴、咬牙及舌体不自主伸出口外,经常有舌缘溃疡、疼痛,影响发音及进食。此后,异常运动幅度逐渐增大,不能正常工作;情绪紧 Male patient, 45 years old, was admitted to hospital on November 17, 2011 because of “involuntary movement for 3 years and increased by 1 week.” Patients with no obvious incentive 3 years ago tongue and involuntary movements of the body, the initial involuntary jitter hands only, occasionally mouth tongue and ulcers. About six months after limb involuntary flexion and extension movements, can not drive; pout, bite and tongue involuntary extension of the tongue, ulcers often have tongue, pain, affect pronunciation and eating. Since then, the magnitude of abnormal movement gradually increased, can not work; emotional tight