体位性脑缺血

中英083成人起病的脑白质营养不良遗传性


A56-year-oldwomanpresentedwithchangesinbalance,handwriting,andthinking.Approximately1yearbeforeherfirstvisit,thepatientdevelopeddifficultywalking,whichcausedmultiplefallswithoutseriousinjury.Shealsodevelopedbilateralupper-extremitytremorsthatworsenedwithmovement.Atthetimeofhervisit,shecouldbarelysignhername.

患者为56岁女性,因“平衡功能、书写及思维改变”就诊。在首次就诊前1年,患者渐出现行走困难并因此多次跌倒,但没有严重受伤;同时还出现双上肢震颤,运动时加重。首次就诊时,患者几乎不能书写其名字。

Approximately4monthsbeforeherfirstvisit,thepatient’sfamilynoticedshewashavingmoredifficultyspeaking,causingfrequentpausesinconversation.Sentencestructureinhere-mailswasabnormalbutherfamilybelievedthather







































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