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一例脑桥出血后左侧肢体异常姿势:肌张力障碍还是假性肌张力障碍?

A Case of Abnormal Postures in the Left Extremities after Pontine Hemorrhage: Dystonia or Pseudodystonia?

作者信息

Park Chan Wook, Chung Seok Jong, Sohn Young H, Lee Phil Hyu

机构信息

Department of Neurology, Yonsei University College of Medicine, Seoul, Korea.

Severance Biomedical Science Institute, Yonsei University College of Medicine, Seoul, Korea.

出版信息

J Mov Disord. 2020 Jan;13(1):62-65. doi: 10.14802/jmd.19074. Epub 2020 Jan 31.

Abstract

It is difficult to determine the pathoanatomical correlates of dystonia because of its complex pathophysiology, and most cases with secondary dystonia are associated with basal ganglia lesions. Moreover, it is a challenging issue that patients with abnormal postures accompanied by other neurological findings in the affected body part (e.g., sensory loss) can be diagnosed with true dystonia or pseudodystonia. Here, we report a case of abnormal postures with loss of proprioception in the left extremities after right dorsal pontine hemorrhage.

摘要

由于肌张力障碍复杂的病理生理学机制,很难确定其病理解剖学关联,并且大多数继发性肌张力障碍病例与基底神经节病变有关。此外,一个具有挑战性的问题是,在受影响身体部位伴有其他神经学表现(如感觉丧失)的姿势异常患者,可能被诊断为真性肌张力障碍或假性肌张力障碍。在此,我们报告一例右侧脑桥背侧出血后左上肢本体感觉丧失伴姿势异常的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10ae/6987531/d6224a8fe751/jmd-19074f1.jpg

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