tongue out
Introduction
Introduction Diffuse encephalopathy associated with rheumatic fever is characterized by involuntary movements of the face and limbs, decreased muscle tone and mood changes. The main pathological changes are arteritis, neuronal degeneration, and inflammatory cell infiltration around the blood vessels in the basal ganglia, cerebral cortex, cerebellum, and substantia nigra. Children are often accompanied by mental symptoms.
Cause
Cause
The etiology is complex and is associated with genetic, biochemical metabolic disorders, brain and physical illness, trauma and psychological stress. Some scholars have studied this disease and are closely related to eating habits. For example, children who are rich in pigments and food additives or who drink a lot of caffeinated beverages have increased chances of getting sick.
Examine
an examination
Related inspection
Muscle tension examination brain CT examination blood routine
This involuntary muscle movement of rheumatic chorea can affect eating and writing. In addition, there are symptoms such as decreased quadriplegia, difficulty swallowing, weakness in muscle strength and muscle tone, and ataxia. Generally, after 2 weeks to half a year, it can recover itself, and the central nervous system does not leave any sequelae, but some patients can relapse. In children with no evidence of carditis at the time of the complication, 20 to 30 years later, follow-up examination revealed that about 20% to 30% of mitral or other valvular lesions. The chorea can exist alone, and can be free of rheumatism activities, such as fever, erythrocyte sedimentation rate and other performance. The etiology of multiple tic disorder is still unclear. It is currently considered to be related to hereditary and perinatal damage such as birth injury, asphyxia, premature birth and psychosocial factors such as family disharmony, excessive tutoring, and overburdened learning. Fright or stress is often the cause of the disease.
Most patients with subacute onset from 1.5 to 15 years old have more women than men.
2. Mental stress and fatigue can be induced, manifested as no purpose, irregular movement of the trunk and limbs, eyebrows, eyebrows, tongues, shrugs, grimacing, etc. When the emotion is excited, the symptoms are obvious and disappear when sleeping.
3. The muscle tension is generally reduced, the reflexes are weakened or disappeared (cerebellar damage), the words are unclear, the movements are clumsy and ataxia.
4. There may be leukocytosis, rapid erythrocyte sedimentation rate, serum mucin and anti-"O" increase.
5. Some patients have extremely unstable emotions (brain cortical damage), irritability, irritability, excitement, and hallucinations. There is no abnormal change in intelligence.
6. There may be mild to moderate fever in the early stage, and may also be accompanied by other manifestations of rheumatic fever. The electrocardiogram may have abnormalities, the cerebrospinal fluid is normal, and the immune function test may be abnormal.
7. The disease can heal itself, but it is easy to relapse.
8. Need to be differentiated from savvy and senile chorea. This involuntary muscle movement of rheumatic chorea can affect eating and writing. In addition, there are symptoms such as decreased quadriplegia, difficulty swallowing, weakness in muscle strength and muscle tone, and ataxia. Generally, after 2 weeks to half a year, it can recover itself, and the central nervous system does not leave any sequelae, but some patients can relapse. In children with no evidence of carditis at the time of the complication, 20 to 30 years later, follow-up examination revealed that about 20% to 30% of mitral or other valvular lesions. The chorea can exist alone, and can be free of rheumatism activities, such as fever, erythrocyte sedimentation rate and other performance. The etiology of multiple tic disorder is still unclear. It is currently considered to be related to hereditary and perinatal damage such as birth injury, asphyxia, premature birth and psychosocial factors such as family disharmony, excessive tutoring, and overburdened learning. Fright or stress is often the cause of the disease.
Diagnosis
Differential diagnosis
It needs to be differentiated from savvy and senile chorea. This involuntary muscle movement of rheumatic chorea can affect eating and writing. In addition, there are symptoms such as decreased quadriplegia, difficulty swallowing, weakness in muscle strength and muscle tone, and ataxia. Generally, after 2 weeks to half a year, it can recover itself, and the central nervous system does not leave any sequelae, but some patients can relapse. In children with no evidence of carditis at the time of the complication, 20 to 30 years later, follow-up examination revealed that about 20% to 30% of mitral or other valvular lesions. The chorea can exist alone, and can be free of rheumatism activities, such as fever, erythrocyte sedimentation rate and other performance. The etiology of multiple tic disorder is still unclear. It is currently considered to be related to hereditary and perinatal damage such as birth injury, asphyxia, premature birth and psychosocial factors such as family disharmony, excessive tutoring, and overburdened learning. Fright or stress is often the cause of the disease.
