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Acute cerebrovascular disease caused by Hemichorea analysis of 32 cases
【Abstract】 Objective of acute cerebral vascular Hemichorea clinical analysis of cases to explore the characteristics of its incidence, etiology and prognosis. Methods 32 patients with acute cerebrovascular disease caused by Hemichorea clinical manifestations, laboratory examination, imaging findings, treatment and prognosis were analyzed retrospectively. Results Hemichorea cases, 32 cases of cerebral infarction in 23 cases (22 cases of lacunar infarction, a large area cerebral infarction in 1 case), cerebral hemorrhage (9 cases, a small amount of thalamic hemorrhage in 8 cases, a large number of basal ganglia hemorrhage n = 1); 24h and 1 week post-stroke occur within Hemichorea symptoms were 27 cases and 5 cases; application haloperidol symptoms disappeared after treatment in 27 cases. Conclusion Acute cerebrovascular disease is the leading cause of Hemichorea one; lesion sites in the basal ganglia-based; haloperidol in the treatment effect is good.
Keywords: acute cerebrovascular disease Hemichorea haloperidol
【Abstract】 Objective To find the clinical characteristics, etiology and prognosis with case analysis on hemichorea caused by acute cerebrovascular disease. Methods To analyze the clinical data of 32 cases hemichorea retrospectively, including clinical manifestation, laboratory test, imaging changes, treatment and recover. Results There were 22 lacunar infarction cases, 1 case large area infarction, and 8 cases with small bleeding in the thalamus, 1 case with large bleeding in the basal ganglia of 9 cases intracerebral hemorrhage. Hemichorea appeared in 27 cases within 24 hours, 5 cases within 1 week. All received aloperidin, the symptom disappeared in27 cases (84.4%). Conclusions The acute cerebrovascular disease is the main risk factor to the partial chorea, the basal ganglion is the main lesion. Aloperidin has a good therapeutic effect.
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