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为了探讨同侧出现的血管性偏侧舞蹈症和舞动症的发生机理,对3例脑血管病急性期中发生的同侧舞蹈症和舞动症患者的临床症状、体征及影像学进行了研究。结果显示,2例患者头颅CT扫描示中线移位,1例出现脑疝,且随脑水肿的好转,不自主运动亦自行缓解。结果提示,急性脑血管病中出现的短暂的不自主运动,可能为一良性过程。但在脑血管病急性期中出现同侧不自主运动则应警惕脑疝的发生。
To investigate the pathogenesis of ipsilateral angina and gallbladder disease, the clinical symptoms, signs and imaging of 3 patients with ipsilateral chorea and gallopia in the acute phase of cerebrovascular disease were studied. The results showed that the head CT scan of two patients showed midline shift and one case had hernia. With the improvement of cerebral edema, involuntary movement also relieved itself. The results suggest that transient involuntary movements in acute cerebrovascular disease may be a benign process. However, in the acute phase of cerebrovascular disease ipsilateral involuntary movements should be alert to the occurrence of hernia.