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文献中有关老年人小脑性共济失调很少报道。本文通过对624例罹患步态异常及有摔倒史的老年病人进行回顾性复习,重点探讨了老年共济失调的原因,对治疗的反应及长期预后。结果624例中45例确认为小脑性共济失调。剔除4例资料不全者后,41例中男20女21例,平均年龄76岁(65～83岁)。41例中以脑血管病为最常见的病因,占37%(15例),其次为遗传/变性型共济失调(9例)、正常颅压脑积水(3)、脑肿瘤(3)及酒精中毒、苯妥英钠中毒和多发性硬化(各2);另5例原因未明。全部病人有躯干性共济失调及共济失调步态,肢体性共济失调仅17例。其它体征
The literature on cerebellar ataxia in the elderly is seldom reported. This retrospective review of 624 elderly patients with gait abnormalities and history of falls has focused on the causes of senile ataxia, the response to treatment, and the long-term prognosis. Results Of 624 cases, 45 cases were confirmed as cerebellar ataxia. Excluding the four cases of incomplete data, 41 cases of 20 males and 21 females, with an average age of 76 years (65 to 83 years). Among the 41 cases, cerebrovascular disease was the most common cause, accounting for 37% (15 cases), followed by genetic / ataxia (9 cases), normal intracranial pressure hydrocephalus (3), brain tumor (3) And alcoholism, sodium phenytoin poisoning and multiple sclerosis (2 each); the other 5 cases of unknown cause. All patients had a trunk ataxia and ataxia gait, limb ataxia only 17 cases. Other signs