Fegers S
Neurologische Klinik des Krankenhauses Maria Hilf, Mönchengladbach.
Fortschr Neurol Psychiatr. 1991 Jun;59(6):234-8. doi: 10.1055/s-2007-1000699.
Paroxysmal Choreoathetosis (PC) is a rare disorder which is characterized by spells of involuntary movements of the limbs, the head and the trunk lasting from a minute to several hours. PC is classified in two main types. In Paroxysmal Dystonic Choreoathetosis (PDC) the attacks are prolonged and precipitated by alcohol, emotion or fatigue, in Paroxysmal Kinesigenic Choreoathetosis (PKC) the attacks last less than 5 minutes and are precipitated by sudden movements. Although the pathophysiology of the disorder ist still uncertain, it is supposed to be an extrapyramidal disorder. Clinical features, therapeutical and differential diagnostic aspects are discussed. There is a certain risk that the disorder is misinterpreted as psychogenic or hysterical in nature. The mostly good response to medication can help the patients avoid superimposed emotional problems.
阵发性舞蹈手足徐动症（PC）是一种罕见的疾病，其特征为肢体、头部和躯干出现持续一分钟至数小时的不自主运动发作。PC主要分为两种类型。在阵发性肌张力障碍性舞蹈手足徐动症（PDC）中，发作时间延长，可由酒精、情绪或疲劳诱发；在阵发性运动诱发性舞蹈手足徐动症（PKC）中，发作持续时间少于5分钟，由突然运动诱发。尽管该疾病的病理生理学仍不确定，但推测为锥体外系疾病。本文讨论了其临床特征、治疗及鉴别诊断方面。存在该疾病被误诊为心因性或癔症性疾病的一定风险。对药物治疗大多良好的反应可帮助患者避免叠加的情绪问题。
