中风与神经疾病杂志2025，Vol.42Issue(4)：310-315,6.DOI:10.19845/j.cnki.zfysjjbzz.2025.0062
25例偏侧舞蹈症患者的临床表现与预后分析
Clinical manifestations and prognosis of patients with hemichorea-hemiballism:An analysis of 25 cases
苏贝晴 1李瑶瑶 1刘娅 2艾文龙 3胡文彬 3孙权 3喻绪恩 3王训 3杨任民3
作者信息
- 1. 安徽中医药大学,安徽 合肥 230012
- 2. 安徽中医药大学,安徽 合肥 230012||安徽中医药大学第一附属医院,安徽 合肥 230031
- 3. 安徽中医药大学神经病学研究所附属医院,安徽 合肥 230061
- 折叠
摘要
Abstract
Objective To investigate the cause,pathogenesis,clinical manifestations,treatment,and prognosis of secondary hemichorea based on related clinical features and examinations by summarizing the medical records of 25 patients with secondary hemichorea-hemiballism.Methods An analysis was performed for 25 patients with hemichorea-hemiballism who were admitted and treated from July 2018 to April 2024,including general status,clinical features,laboratory examinations,MRI or CT examination,treatment methods,and prognosis.Results Of all 25 patients,11(44.0%)had acute cerebrovascular diseases[including 7 cases(28.0%)of cerebral infarction,3 cases(12.0%)of cerebral hemorrhage,and 1 case(4.0%)of moyamoya disease],13(44.0%)had hyperglycemia,and 1 had unknown causes.Of all 25 patients with hemichorea-hemiballism after treatment of the primary disease and symptomatic treatment,18 patients had significant improvements in hemichorea symptoms,and 7 had disappearance of hemichorea symptoms.One patient experienced recurrence after half a year due to self-withdrawal of medication,and the other patients took medication regularly,with no recurrence at follow-up half a year later.Conclusion Hemichorea-hemiballism is more common in the elderly,and acute cerebrovascular disease is the most common cause of hemichorea-hemiballism,followed by hyperglycemia,with the basal ganglia as the main lesion site.In addition to the treatment of the primary disease,symptomatic treatment with haloperidol,clonazepam,or risperidone can significantly improve clinical symptoms and help to achieve a good prognosis.关键词
偏侧舞蹈症/临床分析/急性脑血管病/高血糖/头部影像学Key words
Hemichorea-hemiballism/Clinical analysis/Acute cerebrovascular disease/Hyperglycemia/Cranial imaging分类
临床医学引用本文复制引用
苏贝晴,李瑶瑶,刘娅,艾文龙,胡文彬,孙权,喻绪恩,王训,杨任民..25例偏侧舞蹈症患者的临床表现与预后分析[J].中风与神经疾病杂志,2025,42(4):310-315,6.
