进行性核上性瘫痪中的肌张力障碍

• 作 者: 陈剑兵 梅海云
• 出 处: 国外医学.神经病学神经外科学分册
• 发表日期: 1997年05期
• 关键词: 肌张力障碍 神经变性疾病 肢体运动 眼肌麻痹 假性球麻痹 基底神经节变性 睑痉挛 族性 梗塞灶 左旋多巴

本文分析了PSP中肌张力障碍的症状、分布、发生率。 诊断为PSP的病人,具有进行性非家族性神经变性疾病(40岁以后发病)包括向下凝视异常、核上性眼肌麻痹且具有以下至少二个特征:倾倒性姿势不稳、假性球麻痹、运动缓慢和强直、额叶体征或轴性张力障碍和强直。任何有肢体运动不能、皮质性感觉丧失者被排除。符合以上标准者均被认为有肌张力障碍存在。

This article analyzes the symptoms, distribution, and incidence of dystonia in the PSP. Patient diagnosed with PSP with progressive non-familial neurodegenerative disease (onset after 40 years of age) includes abnormal gait downward, supranuclear ophthalmoplegia and has at least two of the following features: Pounce Poses Unstable, Pseudo-Ball Paralysis, bradykinesia and rigidity, signs of frontal or axial dystonia and rigidity. Anyone who has no physical activity, who has lost cortical sensation, is excluded. Those who meet the above criteria are considered to be dystonia exists.