Matusik Edyta, Wajgt Andrzej, Zieliński Tomasz, Zych-Twardowska Elzbieta
Katedra i Klinika Neurologii, Wydział Lekarski Slaskiej Akademii Medycznej w Katowicach.
Neurol Neurochir Pol. 2003;37 Suppl 5:39-46.
Involuntary movements are rare ischemic stroke complication. Hemichorea, hemibalism and dystonia cases were described, especially during haemorrhage into basal ganglia and thalamus. The case of 73 years old woman is presented who was admitted to our Clinic cause of sudden choreatic involuntary movements occurrence within axial muscles and limbs. Computed Tomography showed ischemic focus in basal ganglia (head of caudate nucleus and lentiformis nucleus) and anterior branch of internal capsule. Cerebral angio--CT confirmed partial occlusion both medial arteries and atherosclerotical changes within the rest of cerebral arteries.
不自主运动是罕见的缺血性中风并发症。已有偏侧舞蹈症、偏侧颤搐症和肌张力障碍病例的描述，尤其是在基底节和丘脑出血时。本文报告了一名73岁女性患者，因轴向肌肉和四肢突然出现舞蹈样不自主运动而入住我院。计算机断层扫描显示基底节（尾状核头部和豆状核）及内囊前支有缺血灶。脑血管CT证实双侧大脑中动脉部分闭塞，其余脑动脉有动脉粥样硬化改变。
