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运动诱发性舞蹈指划症是一种少见疾病,国内较少报道,我们诊治两例报道如下。 例1,男性,16岁,学生。1984年4月10日就诊。主诉1980年秋季参加一次赛跑时突然感到右下肢发紧僵硬并迅速延及右上肢伴有轻度扭动,历时几秒钟即恢复正常,以后每遇奔跑时或突然变动姿势,如久坐、久立后突然行走时均会发生,严重时累及咽喉肌肉及表情肌,影响讲话,每次发作2～10s,每日发作10次到数十次,发作时神志清醒,骑自行车、撑双杠、睡眠时未见发作,家族中无类似病史,神经系统检查和发作前后的脑电图均正常。给予苯妥英钠0.1,每日3次口服,症状得到控制,但停药后仍要复发,日前仍坚持服药,随访二年,患者感觉正常。
Exercise induced choreography is a rare disease, less reported in China, our two cases of diagnosis and treatment are reported below. Example 1, male, 16 years old, student. April 10, 1984 visit. Chief Complaint At the time of the fall of 1980, I suddenly felt the stiffness of my right lower extremity and the rapid extension of my right upper extremity accompanied by mild twisting. After a few seconds, I returned to normal. After I ran or suddenly changed posture, such as sedentary, A long time after the sudden walking will occur, severe involvement of the throat muscles and muscles of the face, affecting the speech, each attack 2 ~ 10s, 10 times a day to dozens of attacks, episodes conscious, cycling, parallel bars, No episodes of sleep, no similar family history, neurological examination and before and after the onset of EEG are normal. Give phenytoin 0.1, orally 3 times a day, the symptoms are controlled, but still relapse after stopping, still adhere to medication, two years follow-up, the patient feels normal.