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相關文獻
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頁籤選單縮合
題 名 | Alien Hand Syndrome: Report of Two Cases=他人之手徵候群:二例報告 |
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作 者 | 吳芳宜; 梁秋萍; 蘇泰豐; | 書刊名 | 長庚醫學 |
卷 期 | 22:4 1999.12[民88.12] |
頁 次 | 頁660-665 |
分類號 | 415.92 |
關鍵詞 | 他人之手; 中風; 生物迴饋; Alien hand syndrome; Stroke; Biofeedback; |
語 文 | 英文(English) |
中文摘要 | 他人之手徵候群是中風病人少見的臨床表現。通常見於前大腦動脈梗塞之患者。 病灶多位於大腦額葉或胼胝體,其致病機轉可能是額葉釋放徵候群或兩側大腦連結失調所 致。病人會出現一些不受自主意識控制的動作,所以稱之為”他人之手”。這些症狀常干擾 病人日常生活及復健的進行。過往文獻多著墨於腦部解剖位置與症狀之相關,目前尚未有有 效的治療方法。本文提出兩個”額葉型”的病例報告,兩者皆為前大腦動脈梗塞之第一次中 風病例,但病例1合併有多發性腦梗塞。病人在中風後患手(皆為慣用手)出現抓握反射,不 自主摸索,失用症(病例1),對物品的強迫使用(病例2)。住院期間除了傳統的物理及職能治 療,病例2還接受生物迴饋訓練。病例1經過5年追蹤,其患肢有輕微肩關節攣縮,手仍易 抓住東西不放,且病人甚少使用此手。病例2則在接受生物迴饋訓練後,其患手的不自主動 作漸消夫,患手功能進步,日常生活完全獨立。本文除了文獻回顧外,我們提出生物迴饋的 臨床治療經驗以供參考。 |
英文摘要 | Alien hand syndrome (AHS) refers to the occurrence of apparently purposeful movements in the hand which are independent of volitional control. Two subtypes of AHS have been proposed: frontal AHS, with grasp reflex and compulsive manipulation of tools by the dominant hand, and callosal AHS, which occurs in the nondominant hand and is characterized mainly by intermanual conflict. Here, we report two cases of frontal-type alien hand syndrome with symptoms of reflexive grasping, impulsive groping, and apraxia (in case 1), and compulsive manipulation of tools (in case 2). Brain computed tomography revealed a left anterior cerebral artery (ACA) territory infarct and multiple small infarcts of both hemispheres in patient 1 and a left ACA infarct in patient 2. The involuntary movements were bothersome to these patients in their daily activities. Both patients attended conventional physical and occupational therapies, and patient 2 received additional biofeedback training. Follow-up studies showed the spontaneous grasping behavior was still present in patient 1 and AHS had subsided in patient 2. We also describe a potentially effective technique involving biofeedback for patients with alien hand syndrome. |
本系統中英文摘要資訊取自各篇刊載內容。