目的 探讨急性脑血管病致偏身舞蹈-投掷症的临床特点.方法 对13例以偏身舞蹈-投掷症 为主要临床表现的急性脑血管病患者的临床资料进行回顾分析.结果 本组患者均为急性起病,11例以偏身舞蹈样症状为主要表现,2例以偏身投掷样症状为主要表现,且出现在脑血管病发病后1～3d.头颅CT或MRI示尾状核腔隙性梗死(腔梗)4例,壳核腔梗3例,放射冠、尾状核头及内囊前肢腔梗、额叶及放射冠梗死、丘脑出血及中脑出血各1例.经综合治疗6 ～ 10 d 10例患者症状消失,3例遗留不同程度的运动障碍.结论 多数急性脑血管病致偏身舞蹈-投掷症患者为基底节区腔梗,主要表现为运动过度,综合治疗预后大多数较好.%Objective To approach the clinical features of hemichorea-hemiballism caused by acute cerebrovasular disease ( ACD). Methods The clinical data of 13 ACD patients with hemichorea-hemiballism as the mainly symptoms were analyzed retrospectively. Results The oneset of the patients in this group was acute. The main clinical symptom was manifesting hemichorea in 11 cases, hemiballism in 2 cases after ACD onset. Brain CT scan or MRI showed that the lacunar infarction in caudate nucleus in 4 cases, putamen in 3 cases, corona radiate, caput nuclei caudati involving anterior limb of internal capsule, frontal lobe involving corona radiata, thalamic hemorrhage, midbrain hemorrhage in 1 case respectively. All the patients received combined modality therapy, and after 6 - 10 d, the symptoms were disappeared in 10 cases; 3 cases had dyscinesia in different degree. Conclusions The most patients with hemichorea-hemiballism caused ACD are with lacunar infarction in basal ginglia area. The main symptom is hyperkinesia. The prognosis in most cases is better after combined therapy.
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