Ramtahal J, Larner A J
Walton Centre for Neurology and Neurosurgery, Lower Lane, Fazakerley, Liverpool, L9 7LJ, UK.
Age Ageing. 2009 May;38(3):352-3. doi: 10.1093/ageing/afp008. Epub 2009 Feb 28.
Primary orthostatic tremor (POT) may be a cause of postural instability in older people. Though unusual, this condition is relatively easily diagnosed, based in part on typical clinical features, impacts on quality of life, and is amenable to symptomatic treatment (Heilman KM. Orthostatic tremor. Arch Neurol 1984; 41: 880-1). We present three cases seen in a general neurology clinic over a 15-month period to highlight the typical clinical features which should alert clinicians to the possibility of this diagnosis.
原发性直立性震颤(POT)可能是老年人姿势不稳的一个原因。尽管这种情况不常见,但相对容易诊断,部分基于典型的临床特征、对生活质量的影响,并且适合进行对症治疗(Heilman KM.直立性震颤。《神经病学档案》1984年;41: 880 - 1)。我们呈现了在15个月期间于普通神经科门诊所见的三例病例,以突出那些应使临床医生警惕该诊断可能性的典型临床特征。