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以冻结步态为首发症状的运动障碍性疾病临床分析和文献复习
引用本文:张克忠,万琪,宋春杰,陈伟贤. 以冻结步态为首发症状的运动障碍性疾病临床分析和文献复习[J]. 中国临床神经科学, 2008, 16(4): 400-402
作者姓名:张克忠  万琪  宋春杰  陈伟贤
作者单位:南京医科大学第一附属医院神经内科 210032
摘    要:
目的:探讨以冻结步态为首发症状的一组运动障碍性疾病的临床特点。方法:对8例早期出现冻结步态的患者进行前瞻性研究。结果:8例患者经过1~3年的临床随访,2例临床诊断为进行性核上性眼肌麻痹(PSP),1例为路易体痴呆(DLB),1例为帕金森综合征(PS),1例为正常压力脑积水(NPH),3例为原发性进行性冻结步态(PPFG)。结论:冻结步态可以是多种运动障碍疾病的早期突出表现。

关 键 词:冻结步态  运动障碍  进行性核上性眼肌麻痹  路易体痴呆  帕金森综合征  脑积水

A Group of Movement Disorder with Primary Symptom of Freezing Gait
ZHANG Ke-Zhong WAN Qi SONG Chun-Jie CHEN Wei-Xian. A Group of Movement Disorder with Primary Symptom of Freezing Gait[J]. Chinese Journal of Clinical Neurosciences, 2008, 16(4): 400-402
Authors:ZHANG Ke-Zhong WAN Qi SONG Chun-Jie CHEN Wei-Xian
Affiliation:ZHANG Ke-Zhong WAN Qi SONG Chun-Jie CHEN Wei-Xian Department of Neurology,the First Affiliated Hospital of NJMU,Nanjing 210032,China
Abstract:
Aim:To explore the characteristics of a group of movement disorders which showed primary symptom of freezing gait.Methods: To study prospectively clinical materials of 8 patients who showed primary symptom of freezing gait.Results: Of eight patients followed up for 1 to 3.5 years,two were diagnosed as progressive supranuclear palsy(PSP),one diagnosed as dementia diffuse Lewy body(DLB),one was parkinsonism,one was normal pressure hydrocephalus(NHP),three were primary progressive freezing gait (PPFG).Conclusion: Freezing gait is a sign with diverse causes,which may be the early predominant symptom of some movement disorders.
Keywords:freezing gait  movement disorder  progressive supranuclear palsy  dementia diffuse Lewy body  parkinsonism  hydrocephalus
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