Bansil Shalini, Prakash Neel, Kaye Joel, Wrigley Sandra, Manata Christina, Stevens-Haas Claire, Kurlan Roger
Atlantic Neuroscience Institute, Overlook Hospital, Summit, New Jersey, United States of America.
Tremor Other Hyperkinet Mov (N Y). 2012;2. doi: 10.7916/D86W98TB. Epub 2012 Mar 20.
Movement disorders occur in association with stroke and may have important clinical implications.
We reviewed the medical literature regarding the clinical phenomenology, prevalence, localization and etiologic implications, and treatments for movement disorders occurring after stroke in adult patients.
Movement disorders occur uncommonly after stroke and include both hyperkinetic and parkinsonian conditions. They can occur at the time of stroke or appear as a later manifestation. Stroke lesions are typically due to small vessel cerebrovascular disease in the middle or posterior cerebral artery territory, vessels supplying the basal ganglia. Hemorrhagic lesions are more likely to induce hyperkinetic movements. Movement disorders in the setting of stroke tend to resolve spontaneously over time. Medical and surgical therapies are available to treat the movement problems.
Movement disorders after stroke can be helpful in localizing lesions after stroke, determining the etiology of stroke, may need to be a target for therapy and may importantly influence long term outcome.
运动障碍与中风相关，可能具有重要的临床意义。
我们回顾了关于成年患者中风后发生的运动障碍的临床现象学、患病率、定位及病因学意义和治疗方法的医学文献。
运动障碍在中风后不常见，包括运动亢进和帕金森氏症情况。它们可在中风时出现或作为后期表现出现。中风病灶通常归因于大脑中动脉或后动脉区域的小血管脑血管疾病，这些血管为基底神经节供血。出血性病灶更易诱发运动亢进。中风情况下的运动障碍往往会随时间自发缓解。有药物和手术疗法可治疗这些运动问题。
中风后的运动障碍有助于中风后病灶的定位、确定中风的病因，可能需要成为治疗靶点，并可能对长期预后产生重要影响。
