| 发作性运动障碍(附33例临床分析和文献复习) |
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| 引用本文： | 刘凤君,王薇薇,李建川,李险峰,吴逊.发作性运动障碍(附33例临床分析和文献复习)[J].中风与神经疾病杂志,2005,22(1):22-24. |
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| 作者姓名： | 刘凤君 王薇薇 李建川 李险峰 吴逊 |
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| 作者单位： | 1. 北京大学第一医院神经内科,北京,100034
2. 北京仁和医院神经内科,北京,102600 |
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| 摘 要： | 目的 了解发作性运动障碍的临床特点以及治疗方法。方法 分析 33例发作性运动障碍病例的临床表现和实验室检查。结果 (1)发作性运动诱发性运动障碍 (PKD) 32例 (96 .97% ) ;(2 )发作性非运动诱发性运动障碍 (PNKD) 3例 (9.0 9% ) ;(3)发作性过度运动导致的运动障碍 (PED) 6例 (18.18% ) ;(4)发作性睡眠诱发性运动障碍 (PHD) 3例 (9.0 9% )。除 2 4例为单纯 PKD外 ,其余病例均与其它类型互相重叠。 EEG大多正常 (32 /33) ,32例 CT/MRI正常。部分可合并癫痫 (5 /33) ,抗癫痫治疗多数 (2 9/33)有效。结论 发作性运动障碍是一种少见的运动障碍疾病 ,和癫痫有一定关系 ,各型可互相重叠 ,EEG大多正常 ,大部分抗癫痫药物治疗有效。
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| 关 键 词： | 发作性运动障碍 癫痫 抗癫痫药 |
| 文章编号： | 1003-2754(2005)01-0022-03 |
| 修稿时间： | 2004年7月10日 |
Paroxysmal dyskinesias-The Clinical Features and Review |
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| LIU Feng-jun,WANG Wei-wei,LI Jian-chuan,et al..Paroxysmal dyskinesias-The Clinical Features and Review[J].Journal of Apoplexy and Nervous Diseases,2005,22(1):22-24. |
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| Authors: | LIU Feng-jun WANG Wei-wei LI Jian-chuan |
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| Abstract: | Objective To explore clinical features and therapy of paroxysmal dyskinesias. Methods 33 patients with paroxysmal dyskinesias were analyzed,we review the clinical manifestations and laboratory studys. Results Of 32 patients with paroxysmal kinesigenic dyskinesia (PKD),3 patients with paroxysmal non-kinesigenic dyskinesia (PNKD),6 patients with paroxysmal exertion-induced dyskinesia (PED),3 patients with paroxysmal hypnogenic dyskinesia (PHD). The coexistence of different types of paroxysmal dyskinesias is noticed(9). The EEG were normal in the most patient (32),5 patients had epileptic seizures. 29 patients responded to antiepileptic drugs. The CT/MRI were normal in 32 patients. Conclusion Paroxysmal dyskinesias is one of paroxysmal movement disorder. It maybe associate with epilepsy. The coexistence of different types of paroxysmal dyskinesias is noticed. It responds to antiepileptic drugs almostly. |
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| Keywords: | Paroxysmal dyskinesias Epilepsy Antiepileptic drugs |
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