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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Infection, the caudate, and movement disorder
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Infection, the caudate, and movement disorder

机译：感染，尾饰和运动障碍

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A disoriented 24-year-old female student presented with fluctuating fever and acute mutism. Examining doctors did not find any focal neurological deficit. There was no significant medical, psychiatric, travel, drug, or alcohol history.Working on the diagnosis of meningoencephalitis, the neurologists treated her with intravenous acyclovir and ceftriaxone. During the initial days of treatment, she showed signs of gradual recovery, with increased verbal output. Two weeks later, she was reported to be suddenly 'unable to maintain a single position for longer than 10 seconds', often tumbling about in bed. There was intermittent, purposeless and uncoordinated flailing of all four limbs, which was partially sup-pressible upon command, and was decreased during sleep. This became progressively erratic, often resulting in injuries owing to frequent knocking against the padded bed-railings. Administered oral lorazepam did not help. She was watched constantly for her safety.Cerebrospinal fluid analysis and blood investigations were normal. Electroencephalography revealed generalized slow waves with no epi-leptiform activity. Magnetic resonance imaging (MRI) of the brain revealed bilateral symmetric T2 hyperintensity of the caudate and putamen nuclei, and mesial temporal lobes (Figure I a).
机译：一个迷人的24岁女学生展示了热病和急性变态的波动。检查医生没有找到任何焦髓神经缺陷。没有显着的医疗，精神病，旅行，药物或酒精历史。在脑膜炎诊断的情况下，神经学家用静脉内的Acyclovir和Ceftriaxone治疗她。在待遇的最初日期，她表现出逐渐恢复的迹象，增加口头产出。两周后，她据报道，她突然“无法保持单一的位置超过10秒”，经常在床上翻滚。所有四肢的间歇性，无紫外线和不协调的挥动，在命令时部分支持，在睡眠期间减少。这变得逐渐不稳定，往往导致频繁敲击加厚床栏杆的伤害。施用口服Lorazepam没有帮助。她不断观察她的安全。脑脊流体分析和血液调查是正常的。脑电图揭示了无血管型活性的广义慢波。大脑的磁共振成像（MRI）显示了尾状和腐核的双侧对称T2高度，以及薄层颞叶（图I A）。

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