Czochanska J
Klinika Neurologii Dzieci i Mlodziezy, Instytut Matki i Dziecka, Kasprzaka 17a, 01-211 Warszawa, Poland.
Med Wieku Rozwoj. 2001 Apr-Jun;5(2):173-8.
Abnormal involuntary movements are common symptoms in children. The neuroanatomical basis for these movement disorders is the extrapyramidal system. Although present at rest they may be more intensive during the will - depending motor activity and increased under stress. They are almost absent during sleep. The underlying causal factors of involuntary movement disorders include metabolic disorders, progressive neurodegenarative diseases, central nervous system infection. The symptomatology of chorea, athetosis, dystonia, tremor, myoclonus and tics are discussed. Special attention is paid to differential diagnosis of myoclonus, chorea and tics as well as to movement disorders and epilepsy.
异常不自主运动是儿童常见症状。这些运动障碍的神经解剖学基础是锥体外系。虽然在静息时存在，但在随意运动时可能更剧烈，并在应激状态下加重。睡眠时几乎消失。不自主运动障碍的潜在病因包括代谢紊乱、进行性神经退行性疾病、中枢神经系统感染。文中讨论了舞蹈症、手足徐动症、肌张力障碍、震颤、肌阵挛和抽动的症状学。特别关注肌阵挛、舞蹈症和抽动的鉴别诊断以及运动障碍和癫痫。
