精神病学中的锥体外系检查
Extrapyramidal examinations in psychiatry.
作者信息
Sanders Richard D, Gillig Paulette Marie
机构信息
Departments of Psychiatry and Neurology, Boonshoft School of Medicine, Wright State University, Dayton, Ohio, USA.
出版信息
Innov Clin Neurosci. 2012 Jul;9(7-8):10-6.
Abstract
Extrapyramidal signs include increased motor tone, changes in the amount and velocity of movement, and involuntary motor activity. They include two groups of signs and related disorders: hypokinetic (similar to Parkinson's disease) and hyperkinetic (similar to Huntington's disease). This article covers some of the neuroscience behind extrapyramidal disorders, the relevance of extrapyramidal signs in the major psychiatric disorders, the major extrapyramidal movement disorders, and how to elicit extrapyramidal signs.
摘要
锥体外系体征包括肌张力增加、运动数量和速度的改变以及不自主运动。它们包括两组体征及相关病症：运动减少型（类似于帕金森病）和运动增多型（类似于亨廷顿病）。本文涵盖了锥体外系疾病背后的一些神经科学知识、锥体外系体征在主要精神疾病中的相关性、主要的锥体外系运动障碍以及如何引出锥体外系体征。
相似文献
1
Extrapyramidal examinations in psychiatry.精神病学中的锥体外系检查
Innov Clin Neurosci. 2012 Jul;9(7-8):10-6.
2
Neuropathology and pathogenesis of extrapyramidal movement disorders: a critical update-I. Hypokinetic-rigid movement disorders.锥体外系运动障碍的神经病理学和发病机制：批判性更新-I. 运动减少-僵硬的运动障碍。
J Neural Transm (Vienna). 2019 Aug;126(8):933-995. doi: 10.1007/s00702-019-02028-6. Epub 2019 Jun 18.
3
Electrophysiologic detection of extrapyramidal motor signs in Alzheimer's disease.
Neurology. 1993 Mar;43(3 Pt 1):500-5. doi: 10.1212/wnl.43.3_part_1.500.
4
Chapter 33: the history of movement disorders.第33章：运动障碍病史。
Handb Clin Neurol. 2010;95:501-46. doi: 10.1016/S0072-9752(08)02133-7.
5
The neurologic syndrome of severe Alzheimer's disease. Relationship to functional decline.重度阿尔茨海默病的神经综合征。与功能衰退的关系。
Arch Neurol. 1993 Oct;50(10):1029-39. doi: 10.1001/archneur.1993.00540100024010.
6
Neuropathology and pathogenesis of extrapyramidal movement disorders: a critical update. II. Hyperkinetic disorders.锥体外系运动障碍的神经病理学和发病机制：批判性更新。二、 运动过度障碍。
J Neural Transm (Vienna). 2019 Aug;126(8):997-1027. doi: 10.1007/s00702-019-02030-y. Epub 2019 Jun 24.
7
Pathophysiology of Parkinson's disease: from clinical neurology to basic neuroscience and back.帕金森病的病理生理学：从临床神经学到基础神经科学，再回归临床
Mov Disord. 2002;17 Suppl 3:S28-40. doi: 10.1002/mds.10140.
8
Extrapyramidal signs in Alzheimer's disease.
Neurology. 1984 Aug;34(8):1114-6. doi: 10.1212/wnl.34.8.1114.
9
Clinical and positron emission tomographic studies in the 'extrapyramidal syndrome' of dementia of the Alzheimer type.阿尔茨海默型痴呆“锥体外系综合征”的临床及正电子发射断层扫描研究
Arch Neurol. 1990 Dec;47(12):1318-23. doi: 10.1001/archneur.1990.00530120062011.
10
Serotonergic functions in man.人类的血清素能功能。
Monogr Neural Sci. 1976;3:8-14. doi: 10.1159/000399327.
引用本文的文献
1
Quantification of motor abnormalities with instrumental tasks among adolescents with first-episode schizophrenia and depressive disorders.首次发作的精神分裂症和抑郁症青少年中通过仪器任务对运动异常进行量化。
Sci Rep. 2025 Jul 1;15(1):22151. doi: 10.1038/s41598-025-06590-w.
2
Characterizing gait in people with multiple sclerosis using digital data from smartphone sensors: A proposed framework.利用智能手机传感器的数字数据表征多发性硬化症患者的步态：一个提议的框架。
Mult Scler. 2025 Apr;31(5):512-528. doi: 10.1177/13524585251316242. Epub 2025 Feb 18.
3
Differentiating Between Lithium Tremors and Extrapyramidal Tremors in a Patient on Long-Term Antipsychotics and Lithium Medication.长期服用抗精神病药物和锂盐的患者中锂盐震颤与锥体外系震颤的鉴别
Cureus. 2023 Jul 24;15(7):e42406. doi: 10.7759/cureus.42406. eCollection 2023 Jul.
4
Neurology Case Report: Rapidly Progressive Dementia and Extrapyramidal Symptoms as the First Presentation of Leptomeningeal Carcinomatosis.神经病学病例报告：快速进展性痴呆和锥体外系症状作为柔脑膜癌病的首发表现
Cureus. 2022 Mar 7;14(3):e22923. doi: 10.7759/cureus.22923. eCollection 2022 Mar.
本文引用的文献
1
Use of calcium channel blockers and Parkinson's disease.钙通道阻滞剂的使用与帕金森病。
Am J Epidemiol. 2012 Apr 1;175(7):627-35. doi: 10.1093/aje/kwr362. Epub 2012 Mar 1.
2
Primary dystonia and dystonia-plus syndromes: clinical characteristics, diagnosis, and pathogenesis.原发性肌张力障碍和肌张力障碍综合征：临床特征、诊断和发病机制。
Lancet Neurol. 2011 Dec;10(12):1074-85. doi: 10.1016/S1474-4422(11)70232-0. Epub 2011 Oct 24.
3
Extrapyramidal syndromes in frontotemporal degeneration.额颞叶变性中的锥体外系综合征。
J Mol Neurosci. 2011 Nov;45(3):336-42. doi: 10.1007/s12031-011-9616-1. Epub 2011 Sep 2.
4
Characterization of spontaneous Parkinsonism in drug-naive patients with nonaffective psychotic disorders.描述非情感性精神病障碍的药物初治患者中自发性帕金森病的特征。
Eur Arch Psychiatry Clin Neurosci. 2012 Mar;262(2):131-8. doi: 10.1007/s00406-011-0219-1. Epub 2011 May 28.
5
Vascular chorea in adults and children.成人及儿童的血管性舞蹈病。
Handb Clin Neurol. 2011;100:261-70. doi: 10.1016/B978-0-444-52014-2.00018-5.
6
Hemiballismus.偏身投掷症
Handb Clin Neurol. 2011;100:249-60. doi: 10.1016/B978-0-444-52014-2.00017-3.
7
Differential diagnosis of chorea.舞蹈症的鉴别诊断。
Curr Neurol Neurosci Rep. 2011 Aug;11(4):385-95. doi: 10.1007/s11910-011-0202-2.
8
Phenomenology and treatment of Catatonia: A descriptive study from north India.紧张症的现象学和治疗：来自印度北部的描述性研究。
Indian J Psychiatry. 2011 Jan;53(1):36-40. doi: 10.4103/0019-5545.75559.
9
An item response analysis of the motor and behavioral subscales of the unified Huntington's disease rating scale in huntington disease gene expansion carriers.亨廷顿病基因扩展携带者统一亨廷顿病评定量表运动和行为分量表的项目反应分析。
Mov Disord. 2011 Apr;26(5):877-84. doi: 10.1002/mds.23574. Epub 2011 Mar 2.
10
Rapid tremor frequency assessment with the iPhone accelerometer.使用 iPhone 加速度计快速评估震颤频率。
Parkinsonism Relat Disord. 2011 May;17(4):288-90. doi: 10.1016/j.parkreldis.2011.01.001. Epub 2011 Feb 5.
Zotero 插件