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[案例分析对肌阵挛综合征鉴别诊断的贡献]

[Casuistic contribution to the differential diagnosis of the myoclonic syndrome].

作者信息

Trenckmann U

出版信息

Psychiatr Neurol Med Psychol (Leipz). 1978 Aug;30(8):457-62.

PMID:103109
Abstract

Involuntary muscle twitches, which are accompanied by a more or less pronounced effect of motion and which may last for several hours, are a common guiding symptom of a number of neurological syndromes. This paper reports the case of a 24-year-old male who had been suffering since his sixth year from episodic muscular spasms accompanied by attacks of petit mal. These are regarded as representing a myoclonic-epileptic syndrome. In this connection, a distinction has to be made, by differential diagnosis, between the "true" myoclonic syndrome which is characterized by the absence of complications due to attacks of grand mal or petit mal, Kojewnikoff's epilepsy, and the myoclonic-epileptic dementia form of syndrome.

摘要

不自主肌肉抽搐伴有或多或少明显的运动效应,且可能持续数小时,是多种神经综合征的常见指导性症状。本文报告了一名24岁男性的病例,该男性自6岁起就患有发作性肌肉痉挛,并伴有小发作。这些被视为代表一种肌阵挛性癫痫综合征。在这方面,必须通过鉴别诊断区分“真正的”肌阵挛综合征(其特征是无大发作或小发作引起的并发症)、科热夫尼科夫癫痫以及肌阵挛性癫痫痴呆型综合征。

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