CAJ | 학술논문

目的：通过对急性脑梗死所致偏身舞蹈症临床分析，讨论其发病特点、病因及治疗。方法：收集2009~2013年就诊于山西省人民医院的23例偏身舞蹈症患者，对其临床表现、实验室检查、影像学表现、治疗及预后进行回顾性分析。结果：基底节区脑梗死22例，大面积脑梗死1例；脑卒中后24 h内出现偏身舞蹈症症状者达22例。23例均应用氟哌啶醇治疗，20例1~3 d后症状开始减轻（其中15例6~7 d后症状消失，5例1个月后症状明显减轻），另3例症状无改善。结论：急性脑梗死是偏身舞蹈症的主要病因之一，病灶以基底节为主，氟哌啶醇治疗有效。
목적：통과대급성뇌경사소치편신무도증림상분석，토론기발병특점、병인급치료。방법：수집2009~2013년취진우산서성인민의원적23례편신무도증환자，대기림상표현、실험실검사、영상학표현、치료급예후진행회고성분석。결과：기저절구뇌경사22례，대면적뇌경사1례；뇌졸중후24 h내출현편신무도증증상자체22례。23례균응용불고정순치료，20례1~3 d후증상개시감경（기중15례6~7 d후증상소실，5례1개월후증상명현감경），령3례증상무개선。결론：급성뇌경사시편신무도증적주요병인지일，병조이기저절위주，불고정순치료유효。
Objective:To discuss the characteristics of its incidence,etiology and treatment by hemichorea clinical cases caused by acute cerebral infarction. Methods:The clinical manifestations,laboratory tests,imaging findings, treatment and prognosis were retrospectively analyzed among 23 patients with the hemichorea in the hospital from 2009 to 2013 . Results:22 cases were caused by the basal ganglia infarction;1 case of massive cerebral infarction;22 cases of Hemichorea after stroke symptoms occurred within 24 h. 23 cases were applied haloperidol treatment. 20 cases after symptoms began to ease during 1 to 3 days( in which 15 cases after symptoms disappeared during 6 to 7 day,5 cases a month after symptoms significantly reduced),The other 3 cases were no improvement of symptoms. Conclusion:The a-cute cerebral infarction is one of the main causes of hemichorea with the basal ganglia mainly as lesions. It turns out that the haloperidol treatment is effective.