Rousseaux M, Parent M, Lesoin F, Hurtevent J F, Blond S, Blondel M, Jomin M
Service des Convalescents, CHU Lille.
Rev Neurol (Paris). 1990;146(4):283-7.
We report a case in which rhythmical myoclonus and tremor at rest revealed a thalamo-subthalamic metastasis from a bronchial carcinoma. Tremor of the upper limbs and face (4 Hz) disappeared with sustained posture and action. A cogwheel phenomenon, hypotonia and disorders of automatic and voluntary movements were also present. Surface electromyographic recordings showed a rhythmical, synchronous activity of the biceps brachialis and triceps muscles at rest. Pathology disclosed lesions of the red nucleus and neighbouring area and severe compression of the substantia nigra which were likely to be the cause of the signs and symptoms.
我们报告了一例病例，其中静止性节律性肌阵挛和震颤揭示了支气管癌的丘脑 - 底丘脑转移。上肢和面部的震颤（4赫兹）在持续姿势和动作时消失。还存在齿轮现象、肌张力减退以及自动和自主运动障碍。表面肌电图记录显示，肱二头肌和肱三头肌在静止时有节律的同步活动。病理检查发现红核及其邻近区域有病变，黑质受到严重压迫，这可能是这些体征和症状的原因。
