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报导1例男孩在1965年初当其17岁时出现头痛,随后出现严重智能下降和进行性右侧肢体运动障碍.检查右侧肢体轻偏瘫和静止性震颤伴Gerstman综合症,包括有左右模糊不清、书写计算不能、领会不能性失读、意向性失用及严重记忆障碍.同年7月出现肌阵挛.予大剂量ACTH静注后,朗读、计算、书写有轻度改善.持续至1966年3月种痘一次后三天即出现强直性发作,致所取得的改善全部消失殆尽.再次大剂量ACTH治疗50天,其症状进行性改善直至恢复活动.至1968年初仅有轻度反射增高及细小震颤.临床治疗一直持续至1973年6月,
One boy reported having a headache at the age of 17 in early 1965 followed by a severe decline in intelligence and progressive right-sided physical motor disorder Checked right hemiparesis and resting tremor with Gerstman syndrome in the right limb, including blurred vision , Can not calculate the calculation, can not understand sexual misreading, intentional sexual abuse and severe memory impairment in the same year, myoclonus occurred in July. After high-dose ACTH intravenous injection, reading, calculation, writing a slight improvement lasted until 1966 The onset of tonic attacks occurred in three days after the first vaccination in March, resulting in the disappearance of all the improvements achieved.After a second dose of ACTH for 50 days, the symptoms improved progressively until recovery, and only mild reflexes increased to the early 1968s Small tremor. Clinical treatment continued until June 1973,