Erro Roberto, Stamelou Maria, Saifee Tabish A, Ganos Christos, Antelmi Elena, Balint Bettina, Cordivari Carla, Bhatia Kailash P
Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, London, United Kingdom; Department of Clinical Neurophysiology, National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom; Dipartimento di Scienze Neurologiche e del Movimento, Università di Verona, Italy.
Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, London, United Kingdom; Second Department of Neurology, Kapodistrian University of Athens, Greece; Neurology Clinic, Philipps University, Marburg, Germany.
Parkinsonism Relat Disord. 2014 Aug;20(8):924-5. doi: 10.1016/j.parkreldis.2014.04.029. Epub 2014 May 21.
Tremor of the upper/middle part of the face, including the perinasal region and the forehead has been very rarely described in some patients with Parkinson's disease or Essential Tremor. It has not yet been reported in patients with idiopathic dystonia.
We describe here a series of 8 patients with common forms of idiopathic focal/segmental dystonia with tremor involving the upper/middle part of the face, along with demonstrative videos and electrophysiological recordings.
The distribution of the tremor was confined to the face in two patients, whereas in six patients tremor was also evident either in the head/lower part of the face or in their upper limbs. Electrophysiological recordings disclosed a slightly irregular tremor with a frequency at about 3-5 Hz.
A number of patients with classical forms of dystonia can show a tremor involving the upper/middle part of the face.
帕金森病或特发性震颤患者中，面部中上部（包括鼻周区域和前额）震颤的情况鲜有描述。特发性肌张力障碍患者中尚未见相关报道。
我们在此描述了8例常见类型的特发性局灶性/节段性肌张力障碍患者，其伴有累及面部中上部的震颤，并提供了演示视频和电生理记录。
2例患者的震颤仅局限于面部，而6例患者在头部/面部下部或上肢也有明显震颤。电生理记录显示震颤稍不规则，频率约为3 - 5赫兹。
许多典型肌张力障碍患者可出现累及面部中上部的震颤。
