急性脑梗死后继发不安腿综合征20例分析及文献复习.pdf

神经疾病与精神卫生2021年6月20日第21卷第6期 Journal of Neuroscience and Mental Health， June 20，2021，， · 429·
Friendship Hospital
from January 2012 to January 2019 were analyzed retrospectively， to summarize their clinical features.
Results  The average age of the 20 patients with secondary RLS after acute cerebral infarction was（±）
years old， including 12 males and 8 females， with a male to female ratio of 3∶2. The infarctions were located
in the pons， radial crown， centrum semiovale， thalamus， putamen and occipital lobe. All 20 patients had limb
paralysis on the contralateral side of the infarction， and 12 patients had dysesthesia of the limb contralateral to
the infarct lesion. RLS occurred in the contralateral side of infarct in 12 patients and in both limbs in 8 patients.
Among them， 15 patients were treated with dopaminergic drugs， and the clinical symptoms of RLS were
significantly improved after treatment. Conclusions  The common infarct sites of secondary RLS after acute
cerebral infarction are the pons（mostly parabrachial nucleus involvement）， centrum semiovale and basal ganglia.
Compared with idiopathic RLS， secondary RLS after acute cerebral infarction is mostly unilateral， which can
affect upper limbs， and dopaminergic drugs are effective.
【Key words】  Acute cerebral infarction；  Restless leg