Uldry P A, Regli F
Service de neurologie, CHUV, Lausanne.
Schweiz Rundsch Med Prax. 1991 Sep 24;80(39):1013-8.
This article will review age-related changes in the neurological examination. The involutional process is a diffuse one, affecting all levels of the neuraxis simultaneously. Most of the numerous little manifestations distinguishing them so sharply from the youthful are really features of the neurology of the elderly. Some signs are characteristic: attitude of general flexion, general poverty of movement, gait, minor extrapyramidal signs, primitive reflexes. However, these features may also be caused by neurological diseases common in the elderly, such as dementia or cervical myelopathy, which is very common after 75 years.
本文将综述神经学检查中与年龄相关的变化。衰老过程是一个弥漫性的过程，同时影响神经轴的所有层面。众多将老年人与年轻人显著区分开来的细微表现，大多数实际上是老年人神经学的特征。有些体征具有特征性：全身屈曲姿势、运动普遍减少、步态、轻微锥体外系体征、原始反射。然而，这些特征也可能由老年人常见的神经疾病引起，如痴呆或颈椎病，颈椎病在75岁以后非常常见。
