Poston Kathleen Lombard
Continuum (Minneap Minn). 2010 Feb;16(1 Movement Disorders):49-76. doi: 10.1212/01.CON.0000348900.09963.bc.
Movement disorders that are infrequently seen in clinical practice can be difficult to recognize and accurately diagnose. Familiarity with these disorders can help the clinician distinguish them from more common movement disorders, such as Parkinson disease, which is associated with a significantly different prognosis and treatment approach. Rare disorders with predominate parkinsonism include multiple system atrophy, progressive supranuclear palsy, and corticobasal degeneration, whereas Huntington disease is the primary movement disorder characterized by chorea. This chapter will provide an overview of the diagnostic, pathologic, and imaging advances from recent literature as well as discuss current treatments for these rare movement disorders.
临床实践中不常见的运动障碍可能难以识别和准确诊断。熟悉这些障碍有助于临床医生将它们与更常见的运动障碍区分开来,比如帕金森病,其预后和治疗方法有显著差异。以帕金森综合征为主的罕见疾病包括多系统萎缩、进行性核上性麻痹和皮质基底节变性,而亨廷顿舞蹈病是以舞蹈症为主要特征的运动障碍。本章将概述近期文献中的诊断、病理和影像学进展,并讨论这些罕见运动障碍的当前治疗方法。