Aydın Sabri, Canaz Huseyin, Erdogan Ezgi Tuna, Durmaz Nazlı, Topcular Barıs
Department of Neurosurgery, Florence Nightingale Hospital, Istanbul Bilim University, Istanbul, Turkey.
Department of Physiology, Istanbul Bilim University, Istanbul, Turkey.
J Mov Disord. 2017 May;10(2):92-95. doi: 10.14802/jmd.16051. Epub 2017 Apr 18.
A 21-year-old male was admitted with severe right arm and hand tremors after a thalamic hemorrhage caused by a traffic accident. He was also suffering from agonizing pain in his right shoulder that manifested after the tremor. Neurologic examination revealed a disabling, severe, and irregular kinetic and postural tremor in the right arm during target-directed movements. There was also an irregular ipsilateral rest tremor and dystonic movements in the distal part of the right arm. The amplitude was moderate at rest and extremely high during kinetic and intentional movements. The patient underwent left globus pallidum internus and ventral intermediate thalamic nucleus deep brain stimulation. The patient improved by more than 80% as rated by the Fahn-Tolosa-Marin Tremor Rating Scale and Visual Analog Scale six months after surgery.
一名21岁男性因交通事故导致丘脑出血后，出现严重的右臂和手部震颤而入院。他还在震颤后出现了右肩部剧痛。神经学检查发现，在目标导向运动期间，右臂存在致残性、严重且不规则的运动性和姿势性震颤。右臂远端还存在不规则的同侧静止性震颤和张力障碍性运动。静止时振幅中等，运动性和意向性运动时振幅极高。该患者接受了左侧苍白球内侧部和丘脑腹中间核深部脑刺激术。术后六个月，根据法恩-托洛萨-马林震颤评定量表和视觉模拟量表评估，患者改善超过80%。
