心脏手术后的舞蹈病。

IF 2.3 Q2 CLINICAL NEUROLOGY

PRACTICAL NEUROLOGY Pub Date : 2025-08-14 DOI:10.1136/pn-2025-004716

Petr Hollý, Petr Dušek, Petra Reková, Manuela Vaneckova, Tereza Uhrová, Hana Brožová

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引用次数: 0

摘要

心脏手术后舞蹈病（以前称为泵后舞蹈病）是儿童常见的并发症（估计患病率为0.6%-3%），但在成人中很少见；当它确实发生时，它通常是永久性的，对治疗反应较差。一名47岁的女性，在手术吻合口假性动脉瘤并切除假主动脉瓣血栓后，四肢出现舞蹈病（在过去的Bentall手术后）。脑MR扫描显示双侧基底节区异常，3个月后部分消退。尽管最初接受了治疗，但她的病情恶化，直到改用氟哌啶醇。

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Chorea after cardiac surgery.

Chorea after cardiac surgery (formerly post-pump chorea) is a common complication in children (estimated prevalence of 0.6%-3%) but is rare in adults; when it does occur, it is often permanent and less responsive to treatment. A 47-year-old woman developed chorea in all limbs following cardiac surgery for a pseudoaneurysm of the anastomosis along with thrombectomy of the prosthetic aortic valve (after Bentall's procedure in the past). MR scan of brain showed bilateral basal ganglia abnormalities, which partially resolved over 3 months. Despite initial treatments, her condition worsened until switching to haloperidol.

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来源期刊

PRACTICAL NEUROLOGY Medicine-Neurology (clinical)

CiteScore

3.70

自引率

3.60%

发文量

113

期刊介绍： The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.