中风后患者的手臂姿势：肌张力障碍、悬浮、联带运动还是痉挛？
Arm Posturing in a Patient Following Stroke: Dystonia, Levitation, Synkinesis, or Spasticity?
作者信息
Irmady Krithi, Jabbari Bahman, Louis Elan D
机构信息
Department of Neurology, Yale School of Medicine, Yale University, New Haven, CT, USA.
Department of Neurology, Yale School of Medicine, Yale University, New Haven, CT, USA ; Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, CT, USA ; Center for Neuroepidemiology and Clinical Neurological Research, Yale School of Medicine, Yale University, New Haven, CT, USA.
出版信息
Tremor Other Hyperkinet Mov (N Y). 2015 Dec 11;5:353. doi: 10.7916/D8222TBH. eCollection 2015.
BACKGROUND
Post-stroke movement disorders occur in up to 4% of stroke patients. The movements can be complex and difficult to classify, which presents challenges when attempting to understand the clinical phenomenology and provide appropriate treatment.
CASE REPORT
We present a 64-year-old male with an unusual movement in the arm contralateral to his ischemic stroke. The primary feature of the movement was an involuntary elevation of the arm, occurring only when he was walking.
DISCUSSION
The differential diagnosis includes dystonia, spontaneous arm levitation, synkinesis, and spasticity. We discuss each of these diagnostic possibilities in detail.
背景
中风后运动障碍发生在高达4%的中风患者中。这些运动可能很复杂且难以分类，这在试图理解临床现象学并提供适当治疗时带来了挑战。
病例报告
我们报告一名64岁男性，在其缺血性中风对侧手臂出现异常运动。该运动的主要特征是手臂不自主抬高，仅在他行走时出现。
讨论
鉴别诊断包括肌张力障碍、自发性手臂悬浮、联带运动和痉挛。我们详细讨论了每种诊断可能性。
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