脑血管病是一种常见的神经系统疾病,但脑卒中后同时出现丘脑痛及手足徐动者少见。其机理尚不清楚,属于丘脑症候群的一部分。现将临床材料完整、症状典型的1例报告如下,并作简要的文献复习。病例女性,44岁,1988年4月入院。 1986年11月末,患者在做饭中,发现右手不好使,静点血管扩张药治疗10余天,体征消失。1987年1月初,晨起后又出现右上肢活动不灵,同时说话不清,口角左偏,无头痛呕吐。用扩血管药物治疗20佘天,基本痊愈,但遗留说话不清。1987年6月起逐渐感到右上肢发紧,有向后牵拉感,位置不适时出现针刺样疼痛,随后扩散到右侧肩部、颈 Cerebrovascular disease is a common neurological disease, but there is a rare occurrence of thalamic and hand-foot-and-arm asymptomatic patients after stroke. The mechanism is unclear and is part of the thalamic syndrome. Clinical materials now complete, the typical symptoms of a report as follows, and for a brief review of the literature. Case female, 44 years old, admitted to hospital in April 1988. At the end of November 1986, when the patient was cooking, he found that the right hand was not good, and the intravenous vasodilator was treated for more than 10 days, the signs disappeared. At the beginning of January 1987, there was a movement of the right upper limb again after morning. At the same time, the speech was not clear and the left angle was left without headache and vomiting. Treatment with vasodilator drugs She Shetian, the basic recovery, but left unspeakable. In June 1987, her right upper extremity became tighter and felt backward. Her acupuncture-like pain appeared when she became ill and then spread to the right shoulder and neck