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异己手综合征(附2例临床分析)
引用本文:姚小梅,王纪佐. 异己手综合征(附2例临床分析)[J]. 临床神经病学杂志, 1997, 0(1)
作者姓名:姚小梅  王纪佐
作者单位:天津医科大学第二医院神经内科
摘    要:本文报道2例异己手综合征(AHS)典型病例,病因分别为脑梗塞和皮质基底节变性,临床均有该病特征性的双手协同障碍即双手拖拉战,此外尚有运动滞留、自责、皮质反射性肌阵挛及镜像书写等附加症状。CT及MRI显示病变累及额叶前内侧和胼胝体。经对症治疗两例均有好转。本文并就AHS的临床表现、诊断及可能的解剖学基础进行探讨。

关 键 词:异己手综合征  皮质基底节变性

Alien hand syndrome.
Yao Xiaomei,Wang Jizuo. Alien hand syndrome.[J]. Journal of Clinical Neurology, 1997, 0(1)
Authors:Yao Xiaomei  Wang Jizuo
Affiliation:Yao Xiaomei,Wang Jizuo.Department of Neurology,Second Affilited Hospital of Tianjin Medical University,Tianjin 300211
Abstract:Two typical cases with alien hand syndrome(AHS) are described,The causes were cerebral infarction and corticbasal ganglionic degeneration (CBD). All two cases showed bimanual coordination, eg.tug of war and motor preservation, autocriticism,cortical reflex myoclonus and mirror writing as well. CT and MRI showed a lesion involving mesial frontal region and fibers of the corpus callosum.Symptoms of all two cases were improved after expectant treatment.The clinical characteristics,diagnosis and possible anatomical bases of AHS were discussed.
Keywords:Alien hand syndrom Corticbasal ganglionic degeneration
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