- 期刊
Thalamic Hand: A Late Onset Sequela of Stroke and Its Influence on Physical Function after Rehabilitation: Two Cases Report
視丘手：一種中風遲發性後遺症及其對肢體功能復健之影響─兩病例報告
摘要
視丘出血或梗塞是腦中風見的病灶之一，這一類型的病人可能會產生視丘症候群，他們的症狀包括了感覺，運動以及精神方面的問題。 本文介紹了兩例視丘出血的病患，他們風後接受了半年以上的追蹤檢查發現患側手部有遲發性的僵硬以及手指舞蹈徐動症，且合併有腕指關節部的彎屈和指間關節部的伸展，根據文獻的記載，上述的手部變形稱之為〝視丘手〞。一旦病人有了視丘手，即使他有好的運動機能，他的手部功能會變得遲緩而低下，進而影響日常生活之能力。文中亦討論了關於中風合併視丘手的復健過程，我們的結論是處理視丘中風患者時必須具備可能發生視丘手的警覺性。對於視丘手，正確的認識，整體的評估和適當的復健計劃是很重要的。
關鍵字
無資料並列摘要
Thalamic hemorrhagre or infarction is one of the common causes of stroke. People who suffer from this type of cerebrovascular disease may develop thalamic syndrome which includes sensory disturbance, motor deficit and psychological problems. In this report, we introduce two cases of thalamic hemorrhage followed up for more than a half year after stroke. Delayed rigidity and choreodystonic type of involuntary movement over their paretic hand developed gradually. The metacarpophalangeal joints of the affected hand were kept flexed and the proximal and distal interphalangeal joints became extended. Thalamic hand is demonstrated in the appended pictures. Once the patient develops a thalamic hand, activities of daily living will be affected due to poor hand performance despite of high motor recovery stage. Early recognition and proper rehabilitation program for the patients with thalamic hand are emphasized.