风温性舞蹈病持续至晚年者尚未见报告。作者报导1例79岁的妇女因严重不自主运动住院。患者5岁开始患有“舞蹈病”,20岁前二次怀孕期间臂和足的舞蹈持续不变。73岁时因丈夫逝世,不随意运动加重。既往无其它病史,除每日用地高辛0.125mg及安定4mg以外,未用其它药及神经营养剂。家族中无类似患者。体检:消瘦,房颤伴二尖瓣狭窄及闭锁不全。大脑功能正常,轻度发音困难,不能伸舌,讲话不清,有广泛而对称的舞蹈动作。肢体肌张力降低并有钟摆样膝反射。CT示轻度脑萎缩。用丁苯喹嗪12.5mg每日三次治疗,运动显著减少,后维持25mg每日二次,能较好地控制症状。作者指出风湿性舞蹈病被认为是抗体媒介免疫 Wind-borne chorea has not been reported until the later years. The authors report that a 79-year-old woman was hospitalized for serious involuntary movements. The patient starts with “chorea” at 5 years of age and arms and feet dance during her second prenatal period until 20 years old. 73 years old due to her husband’s death, involuntary exercise aggravate. No other previous medical history, in addition to daily digoxin 0.125mg and stability 4mg, no other drugs and neurotrophic agents. There are no similar patients in the family. Physical examination: weight loss, atrial fibrillation with mitral stenosis and atresia. Normal brain function, mild dysphonia, can not stretch their tongue, unclear speech, a wide range of symmetrical dance moves. Lower limb muscle tone and pendulum-like knee reflex. CT showed mild brain atrophy. Treated with dibenz quinolide 12.5mg three times a day, a significant reduction in exercise, after the maintenance of 25mg twice daily, can better control the symptoms. The authors point out that rheumatic chorea is considered as an antibody mediated immunity