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尽管壳核是脑内出血最常见的部位,但有人复习24例经CT证实的壳核出血却没有偏身舞蹈症。作者报告1例以偏身舞蹈症为主要特征的急性高血压性壳核出血。患者男性,42岁。轻度高血压25年,驾车时发现左手笨拙,渐加重,次日行走困难。发病18小时后主要表现为左侧肢体不自主运动,呈连续性无节律性、无目的的舞蹈样动作。伸左臂时, 左手呈低张力,左侧肢体恢复动作明显障碍。左侧腱反射增强,巴氏征阳性。全身轻微震颤,血压190/105mmHg,眼底可见动静脉交叉压迹。CT显右
Although putamen is the most common site of intracerebral hemorrhage, it was reviewed in 24 CT-confirmed hypopharyngeal hemorrhages without BIH. The authors report a case of hemophilia as the main characteristic of acute hypertensive mellitus bleeding. Male patient, 42 years old. Mild hypertension for 25 years, driving his left hand clumsiness, gradually heavier, difficulty walking the next day. 18 hours after the onset of the main performance of the involuntary movement of the left limb was continuous non-rhythmic, purposeless dance-like movements. Stretch his left arm, his left hand was low tension, left limb recovery obvious obstacles. Enhanced left tendon reflex, Pakistan’s positive sign. Slight tremor throughout the body, blood pressure 190 / 105mmHg, visible retinal artery and vein cross indentation. CT was right