Hart Y M
Department of Neurology, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK.
J R Coll Physicians Edinb. 2012 Jun;42(2):151-4. doi: 10.4997/JRCPE.2012.213.
Experience from the clinic suggests that many people equate the term 'epilepsy' with the occurrence of convulsions, with the corollary that attacks involving shaking are likely to be due to epilepsy. However, just as many seizure types do not involve shaking, the differential diagnosis of intermittent shaking is wide and includes vasovagal syncope, cardiac disorders, concussive convulsions, psychogenic non-epileptic seizures, 'shaking transient ischaemic attacks', parasomnias, breath-holding attacks in children, hypoglycaemia and movement disorders.
临床经验表明，许多人将“癫痫”一词等同于惊厥的发生，由此推断，涉及颤抖的发作很可能是由癫痫引起的。然而，正如许多癫痫发作类型并不涉及颤抖一样，间歇性颤抖的鉴别诊断范围很广，包括血管迷走性晕厥、心脏疾病、震荡性惊厥、心因性非癫痫性发作、“颤抖性短暂性脑缺血发作”、异态睡眠、儿童屏气发作、低血糖和运动障碍。
