原发性血小板增多症患者继发于亚急性出血的偏身舞蹈症-偏身投掷症1例：病例报告
A case of hemichorea-hemiballismus secondary to a subacute hemorrhage in a patient with essential thrombocythemia: a case report.
作者信息
Harrison Anil, Zhang Tiantian, Batra Gary
机构信息
Department of Internal Medicine, Midwestern University, Glendale, AZ, 85308, USA.
Department of Internal Medicine, University of Central Florida/HCA, Pensacola, FL, 32514, USA.
出版信息
J Med Case Rep. 2025 Mar 27;19(1):142. doi: 10.1186/s13256-025-05161-x.
BACKGROUND
Hemiballismus is a rare movement disorder characterized by violent, involuntary movements, usually resulting from a stroke affecting the subthalamic nucleus. Risperidone, an atypical antipsychotic, has shown effectiveness in managing these symptoms.
CASE PRESENTATION
We present the case of a 75-year-old Asian female patient of Cambodian origin with hemichorea-hemiballismus secondary to a subacute hemorrhage in the left basal ganglia, in the context of essential thrombocythemia. The patient responded remarkably well to risperidone. The patient's story, along with video documentation of her condition and response to treatment, is discussed.
CONCLUSION
This case highlights the potential of risperidone in treating hemichorea-hemiballismus, providing a nonsurgical option for managing this debilitating condition.
背景
偏身投掷症是一种罕见的运动障碍，其特征为剧烈的、不自主运动，通常由影响丘脑底核的中风所致。利培酮，一种非典型抗精神病药物，已显示出对控制这些症状有效。
病例报告
我们报告一例75岁柬埔寨裔亚洲女性患者，患有继发于左基底节亚急性出血的偏身舞蹈症-偏身投掷症，该患者同时患有原发性血小板增多症。该患者对利培酮反应显著良好。文中讨论了该患者的病例情况，以及其病情和治疗反应的视频记录。
结论
本病例突出了利培酮治疗偏身舞蹈症-偏身投掷症的潜力，为管理这种使人衰弱的疾病提供了一种非手术选择。
Zotero 插件