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震颤研究的里程碑。

Milestones in tremor research.

机构信息

Department of Neurology, Southern Illinois University School of Medicine, Springfield, Illinois, USA.

出版信息

Mov Disord. 2011 May;26(6):1096-105. doi: 10.1002/mds.23579.

Abstract

Tremor is one of the most frequent movement disorders and covers a wide spectrum of entities summarized in the 1998 consensus statement of the Movement Disorder Society. Essential tremor and Parkinson tremor are most common and are also the most thoroughly studied. Major progress has occurred in the clinical semiology, neuroimaging, epidemiology, and pathophysiology of tremors. Pathology and genetic research are rapidly growing fields of study. Recently described tremor entities include orthostatic tremor, dystonic tremor, cortical tremor, and thalamic tremor. Treatment research methodology has improved substantially, but few double-blind controlled trials have been published. Deep brain stimulation is the most effective treatment for most tremors but is reserved for advanced cases.

摘要

震颤是最常见的运动障碍之一,涵盖了 1998 年运动障碍学会共识声明中总结的广泛实体。特发性震颤和帕金森震颤最为常见,也是研究最透彻的。震颤的临床症状学、神经影像学、流行病学和发病机制方面取得了重大进展。病理学和遗传研究是迅速发展的研究领域。最近描述的震颤实体包括体位性震颤、肌张力障碍性震颤、皮质震颤和丘脑震颤。治疗研究方法学有了很大的改进,但发表的双盲对照试验很少。深部脑刺激是大多数震颤最有效的治疗方法,但保留用于晚期病例。

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