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[异手综合征的康复治疗]

[Rehabilitation of alien hand syndrome].

作者信息

Stevens Rose, Svenningsen Anne Louise Vandsø, Olesen Charlotte, Middelhede Rikke

机构信息

Regionshospitalet Hammel Neurocenter, Region Midtjylland.

出版信息

Ugeskr Laeger. 2025 May 5;187(19):V10240672. doi: 10.61409/V10240672.

Abstract

Alien hand syndrome (AHS) is a rare neurological condition characterized by involuntary and uncontrollable movements of an upper limp. Based on clinical presentation and affected brain region, AHS has three variants: frontal, callosal and posterior. Treatment of AHS is based on anecdotal reports and includes clonazepam, botulinum toxin injections, cognitive behavioural therapy, visuospatial coaching, distracting tasks and mirror box therapy. In this case report, we present two patients admitted to rehabilitation with AHS after an ischaemic stroke. One of them received mirror box therapy.

摘要

异己手综合征(AHS)是一种罕见的神经系统疾病,其特征为上肢出现不自主且无法控制的运动。根据临床表现和受影响的脑区,AHS有三种变体:额叶型、胼胝体型和后部型。AHS的治疗基于轶事报道,包括使用氯硝西泮、注射肉毒杆菌毒素、认知行为疗法、视觉空间训练、分散注意力任务和镜像疗法。在本病例报告中,我们介绍了两名在缺血性中风后因AHS入院接受康复治疗的患者。其中一人接受了镜像疗法。

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