摘要
目的总结异己手综合征(AHS)的临床特征,探讨其发病机制及诊疗要点。方法回顾性分析2015年7月至2017年7月8例AHS住院患者的原发病、临床表现、影像学特点及预后。结果 8例AHS患者全部为脑血管病;临床表现多样,包括异己手8例、运动障碍8例、认知障碍5例、言语障碍4例、情感障碍3例;影像学提示病灶累及胼胝体8例、额叶8例、顶叶3例、颞叶2例、基底节区1例;经药物及康复治疗,4例治愈,2例好转,2例改善。结论 AHS的病因以脑血管病多见,多累及胼胝体及额叶,临床表现多样,预后良好。
Objective To report the clinical characteristics of alien hand syndrome(AHS).Methods Eight AHS inpatients from July,2015to July,2017were reviewed from the etiology,clinical manifestations,imaging characteristics and outcome.Results The etiology of the patients was cerebrovascular disease.The clinical features included alien hand(8cases),movement disorder(8cases),cognitive disorder(5cases),speech disorder(4cases)and affective disorder(3cases).Imaging indicated the lesions involved callosum(8cases),frontal lobe(2cases),parietal lobe(3cases),temporallobe(2cases)and basal ganglial region(1case).There were four cases healing,two improving,two of remissionafter medicine and rehabilitation.Conclusion ASH is mainly resulted from cerebrovascular disease,in which callosum and frontal lobe are mostly involved,features in different forms,and prognoses well.
作者
高修明
康硕
刘苏玮
江水华
项洁
GAO Xiu-ming;KANG Shuo;LIU Su-wei;JIANG Shui-hua;XIANG Jie(Rehabilitation Department, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221000, China;Medical Technology College of Xuzhou Medical University, Xuzhou, Jiangsu 221000, China)
出处
《中国康复理论与实践》
CSCD
北大核心
2018年第3期342-346,共5页
Chinese Journal of Rehabilitation Theory and Practice
关键词
异己手综合征
临床表现
症状
影像学
预后
alien hand syndrome
clinical manifestations
symptom
imaging
outcome
