Poston Kathleen L, Frucht Steven J
Dept. of Neurology, Columbia University Medical Center, 710 West 168th Street, 10032, New York, NY, USA.
J Neurol. 2008 Aug;255 Suppl 4:2-13. doi: 10.1007/s00415-008-4002-9.
Movement disorder emergencies include any movement disorder which evolves over hours to days, in which failure to appropriately diagnose and manage can result in patient morbidity or mortality. It is crucial that doctors recognize these emergencies with accuracy and speed by obtaining the proper history and by being familiar with the phenomenology of frequently encountered movements. These disorders will be discussed based on the most common associated involuntary movement, either parkinsonism, dystonia, chorea, tics or myoclonus, and, when available, review the workup and treatment options based on the current literature.
运动障碍急症包括任何在数小时至数天内发展的运动障碍,若不能进行恰当的诊断和处理,可能导致患者发病或死亡。医生必须通过获取恰当的病史并熟悉常见运动的现象学,准确且迅速地识别这些急症。将基于最常见的相关不自主运动,即帕金森综合征、肌张力障碍、舞蹈症、抽动或肌阵挛来讨论这些疾病,并在可行时根据当前文献回顾检查方法和治疗选择。