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多动性运动障碍的治疗。

Treatment of hyperkinetic movement disorders.

作者信息

Bressman S B, Greene P E

机构信息

Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York.

出版信息

Neurol Clin. 1990 Feb;8(1):51-75.

PMID:2181268
Abstract

Movement disorders are subdivided based on a variety of criteria. One useful and popular approach to movement disorders, based on clinical phenomenology, categorizes these disorders into two groups, those displaying a poverty of movement (akinesia) and those displaying excessive movement (hyperkinesia). This article discusses diagnosis and treatment of the latter. By necessity, certain hyperkinesias such as hyperexplexia, akathisia, and restless leg syndrome are omitted or only briefly discussed. The major hyperkinesias, dystonia, tremor, tics, chorea (including tardive dyskinesia and ballism), and myoclonus are reviewed and a guide to practical management emphasizing symptomatic treatment is presented.

摘要

运动障碍根据多种标准进行细分。基于临床现象学,一种有用且常用的运动障碍分类方法将这些障碍分为两组,一组表现为运动减少(运动不能),另一组表现为运动过多(运动亢进)。本文讨论后者的诊断和治疗。某些运动亢进,如惊跳反射亢进、静坐不能和不宁腿综合征,必然会被省略或仅作简要讨论。本文将对主要的运动亢进,即肌张力障碍、震颤、抽动、舞蹈症(包括迟发性运动障碍和颤搐)和肌阵挛进行综述,并提供一份强调对症治疗的实际管理指南。

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