综合有关文献,l本病主要特点为:i
1.亚急性起病,l迅速进展的反应迟钝、i无欲状态。
2.进行性的构音障碍,l少语或语音低至缄默不语。
3.肌张力低下或增高,lRomberg征(+),l呈向后倾倒状。
4.可因肌张力低引起肌无力或痉挛性轻瘫。
5.共济失调,l辨距不良,l步态僵硬或宽基步态。
6.CSF正常。
7.有明确的吸毒史并排除其他中毒因素。
引自:i
野向春,l张风芝,l侯东刚.1999.海洛因中毒性脑病1例报告.中风与神经疾病杂志,l5:i281
Bernagconi1A,lKuntzer1T,lHadbon1N1et1a1.1996.Periphoral1nerve1and1spinal1cord1complication1in1intravamons1heroin1addiction.Rev1Neurol,l152:i688~691
Kriegstein1AR,lShungu1DC,lMillar1WS1et1a1.1999.593
Leukoencephalopathy1and1raised1brain1lactate1from1heroin1vapor1inhalation(“chasing1the1dragon”).Neurology,l53:i1765~1773
Rizzuto1N,lMorbin1M,lTerrari1S1et1a1.1997.Delaxed1spongiform1leukoencephalopathy1after1heroin1abuso.Acta1Neuropathol,l94:i87~90
Vila1N,lChamorro1A.1997.Ballistic1movements1due1to1ischemic1infarcts1after1intravenous1heroin1overdose:ireport1of1two1cases.Clin1Neurol1Neurosurg,l99:i259~262
Weber1M,lDiener1HC,lVoit1T1et1a1.2000.Focal1myopathy1induced1by1chronic1heroin1injection1is1reversible.Muscle1Nerve,l23:i274~277
Weber1W,lHenkes1H,lMoller1P1et1a1.1998.Toxic1spongiform11eucoencephalopathy1after1inhaling1heroin1vapour.Eur1Rodiol,l8:i749~755