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頁籤選單縮合
| 題 名 | Clinical Manifestations of Tardive Truncal Dystonia--Abdominal Movements: Report of Two Cases=以腹部異動症為表現之亞型遲發性異動症: 二病例報告 |
|---|---|
| 作 者 | 單定一; 廖光淦; 傅中玲; | 書刊名 | 中華醫學雜誌 |
| 卷 期 | 61:9 1998.09[民87.09] |
| 頁 次 | 頁545-550 |
| 分類號 | 415.933 |
| 關鍵詞 | 腹部; 肌張力異常症; 遲發性異動症; Abdomen; Dystonia; Tardive dyskinesia; |
| 語 文 | 英文(English) |
| 中文摘要 | 在已知許多種類型的腹部異動症中,有些病因源自於周邊柛鋞系統,有些源自於 中樞神經系統。為了更進一步鑑別診斷,我們報告2例腹部異動症,患者病因源自於長期服 用halopenidol或sulpinide。肌電圖檢查顯示此2位腹部異動症患者,有兩種不同的肌肉 收縮模式。第1位患者胸椎及腰椎側肌肉出現長達一秒的收縮,造成骨盆重複的向後傾斜及 肚臍向下位移。第2位患者腹直肌及腹外斜肌出現持續性的收縮,造成腹部持續內縮及一陣 陣跳動。2位患者經過reserpine治療後,異動症都大有改善。我們認為肌電圖檢查是檢測 軀幹及腹部肌張力異常症之有力工具,藉此可鑑別遲發性異動症的兩個亞型。 |
| 英文摘要 | A variety of involuntary abdominal movements may result from peripheral insults or have a central origin. However, the spectrum of differential diagnoses can be broadened by this report of two patients whose involuntary abdominal movements were related to chronic use of haloperidol or sulpiride. Electromyographic studies revealed two patterns of muscle activity in these two patients. The first patient showed long-duration bursts of the thoracic and lumbar paraspinal muscles, causing repetitive backward tilting of the pelvis and downward shifting of the umbilicus. The second patient showed persistent contraction of the rectus and the external oblique abdominal muscles, causing sustained retraction of the abdominal wall and episodic jerking. Both patients improved dramatically after treatment with reserpine. We conclude that electromyographic study is useful in identifying truncal dystonia and abdominal dystonia, two variants of tardive syndrome. |
本系統中英文摘要資訊取自各篇刊載內容。