由于腹外侧丘脑病变导致的单侧扑翼样震颤。

Unilateral asterixis due to a lesion of the ventrolateral thalamus.

作者信息

Stell R, Davis S, Carroll W M

机构信息

Department of Neurology, Sir Charles Gairdner Hospital, Perth, Australia.

出版信息

J Neurol Neurosurg Psychiatry. 1994 Jan;57(1):116-8. doi: 10.1136/jnnp.57.1.116.

DOI:10.1136/jnnp.57.1.116

PMID:8301291

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC485051/

Abstract

A case of unilateral asterixis in a man with a focal ischaemic lesion of the contralateral ventral thalamus is presented. Atypically, the movements were present at rest and had a pattern of activation that resulted in an initial misdiagnosis of epilepsia partialis continua. This case emphasises the importance of electromyographic analysis in establishing the correct diagnosis of involuntary movements before starting specific treatment.

摘要

本文报告了一例患有对侧腹侧丘脑局灶性缺血性病变的男性出现单侧扑翼样震颤的病例。不同寻常的是，这些动作在休息时出现，且具有一种激活模式，导致最初误诊为持续性部分性癫痫。该病例强调了在开始特定治疗前，肌电图分析对于正确诊断不自主运动的重要性。