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运动障碍。识别和治疗震颤的关键。

Movement disorders. Keys to identifying and treating tremor.

作者信息

Velickovic Miodrag, Gracies Jean-Michel

机构信息

Movement Disorders Center, Department of Neurology, Mount Sinai Medical Center, New York, NY, USA.

出版信息

Geriatrics. 2002 Jul;57(7):32-6; quiz 39.

Abstract

Tremor is one of the most common adult neurologic disorders. It is characterized by Involuntary, rhythmic and oscillatory movements of a body part. Tremor affects quality of life by impeding simple motor tasks and activities of daily living and heightening self consciousness. Severe tremor can undermine independence, relationships, and recreational and social activities. Initial clinical objectives include determining the tremor type and ruling out Parkinson's disease. Severe cases typically require pharmacologic therapy, and in some instances, surgical intervention; both strategies for severe cases, however, have drawbacks.

摘要

震颤是最常见的成人神经系统疾病之一。其特征是身体某一部位出现不自主、有节奏的摆动运动。震颤会妨碍简单的运动任务和日常生活活动,并增强自我意识,从而影响生活质量。严重的震颤会损害独立性、人际关系以及娱乐和社交活动。最初的临床目标包括确定震颤类型并排除帕金森病。严重病例通常需要药物治疗,在某些情况下还需要手术干预;然而,这两种针对严重病例的治疗策略都有缺点。

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