Hawkins-Walsh Elizabeth
Pediatric Nurse Practitioner Program, Catholic University of America, Washington, DC, USA.
J Am Acad Nurse Pract. 2003 May;15(5):220-3. doi: 10.1111/j.1745-7599.2003.tb00362.x.
To provide the clinician with an opportunity to review the most common causes of tremor in young adults.
Extensive review of international scientific literature on tremors and other movement disorders, supplemented by a recent case study.
Essential tremor (ET) is the most common tremor disorder in the world. In contrast to common expectations, the 2nd decade of life represents a period of peak incidence. The early presentation may be so mild that the tremor goes unnoticed by patients and clinicians for many years. The most important movement disorder to rule out in the workup of patients with tremors is Parkinson's disease.
The diagnosis of ET is generally made on clinical grounds. A comprehensive history and careful physical examination that rules out cerebellar or extrapyramidal disease is required. The clinician must distinguish between resting tremors and action tremors. If the appropriate diagnosis is unclear, a tremor recording (electromyogram) may assist in this distinction. Referral to a neurologist may be warranted.
为临床医生提供一个回顾年轻成年人震颤最常见病因的机会。
对关于震颤及其他运动障碍的国际科学文献进行广泛回顾，并辅以近期的病例研究。
特发性震颤（ET）是世界上最常见的震颤疾病。与普遍预期相反，生命的第二个十年是发病率的高峰期。早期表现可能非常轻微，以至于患者和临床医生多年都未注意到震颤。在震颤患者的检查中，最重要的需要排除的运动障碍是帕金森病。
ET的诊断通常基于临床依据。需要进行全面的病史询问和仔细的体格检查以排除小脑或锥体外系疾病。临床医生必须区分静止性震颤和动作性震颤。如果合适的诊断不明确，震颤记录（肌电图）可能有助于这种区分。可能需要转诊给神经科医生。
