Shanker Vicki L
Neurology, Icahn School of Medicine at Mount Sinai, 10 Union Square East, Suite 5H, New York, NY 10003, USA.
Neurol Clin. 2016 Aug;34(3):651-65. doi: 10.1016/j.ncl.2016.04.012.
Tremor is a frequent patient complaint in the neurologist's office. Nevertheless, despite the routine nature of this office presentation, misdiagnosis of common tremors is not an infrequent practice. In addition, there are less common causes of tremor that can be missed if the clinician is not aware of key features. An organized and methodical history and neurologic examination are essential in developing the differential diagnosis in tremor patients and ultimately in achieving the correct diagnosis. Awareness of key historical features associated with tremor and knowledge of the movement disorders examination will improve tremor assessment.
震颤是神经科门诊患者常见的主诉。然而，尽管这种门诊表现很常见，但对常见震颤的误诊并不罕见。此外，如果临床医生不了解关键特征，就可能漏诊一些不太常见的震颤病因。有条理、系统地询问病史和进行神经系统检查对于震颤患者的鉴别诊断以及最终做出正确诊断至关重要。了解与震颤相关的关键病史特征和运动障碍检查知识将有助于提高震颤评估水平。
