HEMICHOREA RESULTING FROM A LOCAL LESION OF THE BRAIN. (THE SYNDROME OF THE BODY OF LUYS
HEMICHOREA RESULTING FROM A LOCAL LESION OF THE BRAIN. (THE SYNDROME OF THE BODY OF LUYS
复制标题
由大脑局部病变引起的偏侧舞蹈症。
DOI：
10.1093/brain/50.3-4.637
复制
发表时间：
1927
期刊：
影响因子：
14.5
通讯作者：
J. P. Martin
中科院分区：
文献类型：
--
作者：
J. P. Martin
这个题目是由今年二月在海员医院接受我治疗的一个病人的病例引起的。他身材魁梧，六十二岁，以前是海员，后来在码头的船上做守夜人。他之前没有任何疾病，但在他接受观察时，他的动脉粥样硬化非常严重，他的收缩压为190毫米。他的心脏大得多；他血液中的瓦色尔曼反应呈阳性。除了前六个月经常头痛外，他一直很好，直到2月8日。那天早上，大约8点，刚从晚上的工作回到家，他感到头晕，摇摇晃晃，右侧身体剧烈疼痛。他坐下来喝了一杯酒，然后感觉好多了，像往常一样吃了顿饭就上床睡觉了。当他下午4点醒来时，他坐在床上想喝一杯茶，但他的右手“抖”得太厉害了，把大部分茶都洒了出来，他无法把杯子送到嘴边。甚至当他的妻子端着杯子时，他也不能正常地喝水，但是，正如他的妻子所描述的那样，“他把茶倒进嘴里，大口地喝了下去。”那天晚上，当他起床要回船上去的时候，他的右臂在剧烈地抽搐和摆动，“他的右腿在四处乱晃”，但在他妻子的帮助下，他勉强走了起来。两小时后，当他的妻子再次见到他时，他的无意识动作变得更加严重，但在早上，他设法走回家了。在接下来的三十六小时里，他的情况基本没有什么变化，但是在2月10日晚上，他变得非常激动，不讲道理，对他的妻子大发雷霆，这是他以前从未有过的，以至于她害怕他会动手。这时他不由自主的动作比以前更厉害了。第二天，他还是满腔怒火，无法控制自己的情绪。傍晚，他来到船上。发病后的第四天早晨，他倒在家中，当天被送到医院。当我第一次见到他的时候，直到十五天后他去世，他的情况是这样的：当他醒着的时候，他的右臂和右腿不断地剧烈地晃动。这些肢体的所有关节都发生了运动，但肩部、髋关节、肘部和膝关节的异常严重的受累使它们的幅度在舞蹈病中不常见。在形式上
THIS subject arises from the case of a patient who came under my care at the Seamen's Hospital in February of this year. He was a man of large build, aged 62, formerly a seaman, and latterly employed as a night watchman on board ships in dock. He had had no previous illnesses, but at the time he came under observation had very atheromatous arteries, his systolic bloodpressure was 190 mm. Hg, and he had a considerably enlarged heart; the Wassermann reaption in his blood was positive. Except for frequent headaches during the preceding six months, he had been well until February 8. On that morning, about 8 am, just after arriving home from his night's work, he felt giddy, staggered, and had a severe pain in the right side of his body. He sat down for a li title, then felt better, had a meal and went to bed as usual. When he woke up at 4 o'clock in the afternoon he tried to take a cup of tea sitting up in bed, but his right hand" shook" so violently that he spilled most of the tea and he could not bring his cup to his mouth. Even when his wife held the cup he could not drink normally, but, as his wife described it," he slopped the tea into his mouth and gulped it down." When he got up that evening to go to his ship his right arm was twitching and swinging about widely, and" he was throwing his right leg about," but, with some assistance from his wife, he managed to walk. When his wife saw him again, two hours later, the involuntary movements had become much worse, but in the morning he managed to walk home. His condition remained much the same for the next thirty-six hours, but on the evening of February 10 he became very agitated and unreasonable, turned on his wife as he had never done before in such a way that she was afraid of his violence; his involuntary movements were then worse than ever. The next day he remained in the same angry and uncontrollable mood, and in the evening made his way down to the ship. On the fourth morning after the onset of his illness he fell in his house and that day he was brought to hospital.When 1 first saw him, and until his death fifteen days later, his condition was as follows: While he was awake his right arm and leg were unceasingly tossed about in a violent chorea. The movements occurred at all the joints of these limbs, but an unusually severe involvement of the shoulder and hip and elbow and knee gave them an amplitude not often seen in chorea. In form