Jankovic J, Glass J P
Neurology. 1985 Mar;35(3):432-5. doi: 10.1212/wnl.35.3.432.
A 58-year-old woman was receiving chemotherapy for carcinoma of the breast. She was given 1,700 mg metoclopramide IV for 2 months to prevent nausea and vomiting. Within hours after metoclopramide was given, she had hand tremor, akathisia, and truncal and orofacial dyskinesia. These symptoms resolved, but she was left with persistent shoulder stump chorea, the perception of the phantom left arm involuntarily adducted at the shoulder and flexed at the elbow, and dystonic pronation and extension of the hand away from her body. The motor aspects of the phantom dyskinesia will be emphasized.
一名58岁女性正在接受乳腺癌化疗。她静脉注射1700毫克甲氧氯普胺，持续2个月以预防恶心和呕吐。在给予甲氧氯普胺后的数小时内，她出现手部震颤、静坐不能以及躯干和口面部运动障碍。这些症状得到缓解，但她遗留有持续的肩部残端舞蹈症、幻肢左臂在肩部不自主内收且肘部屈曲的感觉，以及手部远离身体的张力障碍性旋前和伸展。将重点讨论幻肢运动障碍的运动方面。
