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[罕见震颤综合征]

[Rare tremor syndromes].

作者信息

Becktepe J S, Goevert F, Deuschl G

机构信息

Klinik für Neurologie, Universitätsklinikum Schleswig-Holstein, Kiel Campus, Christian Albrechts University Kiel, Arnold-Heller Str. 3, 24105, Kiel, Deutschland.

出版信息

Nervenarzt. 2018 Apr;89(4):386-393. doi: 10.1007/s00115-017-0477-x.

DOI:10.1007/s00115-017-0477-x
PMID:29327098
Abstract

BACKGROUND

There is a group of uncommon sporadic tremor syndromes, which are only partially taken into account in the current classification of tremor. Their knowledge is of diagnostic and therapeutic relevance and they should be considered in the differential diagnosis of frequent tremor syndromes.

OBJECTIVE

Differential diagnostics and treatment of uncommon tremor syndromes.

METHOD

Literature search (PubMed, Google Scholar).

RESULTS

Holmes tremor, myorhythmia, palatal tremor, limb-shaking transient ischemic attack (TIA), tardive tremor, neuropathic tremor, tremor induced by peripheral trauma and orthostatic tremor syndrome are described.

CONCLUSION

Uncommon sporadic tremor syndromes are mainly symptomatic with various underlying neurological or systemic pathologies. Their recognition accelerates the diagnostic process and has therapeutic relevance.

摘要

背景

存在一组罕见的散发性震颤综合征,在当前的震颤分类中仅部分得到考虑。对它们的了解具有诊断和治疗意义,在常见震颤综合征的鉴别诊断中应予以考虑。

目的

罕见震颤综合征的鉴别诊断与治疗。

方法

文献检索(PubMed、谷歌学术)。

结果

描述了霍姆斯震颤、肌阵挛性节律性震颤、腭震颤、肢体抖动性短暂性脑缺血发作(TIA)、迟发性震颤、神经性震颤、外周创伤诱发的震颤和直立性震颤综合征。

结论

罕见的散发性震颤综合征主要为症状性,伴有各种潜在的神经或全身性病变。对它们的认识可加速诊断过程并具有治疗意义。

相似文献

1
[Rare tremor syndromes].[罕见震颤综合征]
Nervenarzt. 2018 Apr;89(4):386-393. doi: 10.1007/s00115-017-0477-x.
2
Unusual tremor syndromes: know in order to recognise.不常见的震颤综合征:了解以便识别。
J Neurol Neurosurg Psychiatry. 2016 Nov;87(11):1191-1203. doi: 10.1136/jnnp-2015-311693. Epub 2016 Mar 16.
3
Differential diagnosis of tremor.震颤的鉴别诊断。
J Neural Transm Suppl. 1999;56:211-20. doi: 10.1007/978-3-7091-6360-3_14.
4
Diagnosis and treatment of common forms of tremor.常见震颤形式的诊断与治疗。
Semin Neurol. 2011 Feb;31(1):65-77. doi: 10.1055/s-0031-1271312. Epub 2011 Feb 14.
5
Understanding essential tremor. Differential diagnosis and options for treatment.认识特发性震颤。鉴别诊断与治疗选择。
Postgrad Med. 2000 Oct;108(5):138-40, 143-6, 149. doi: 10.3810/pgm.2000.10.1253.
6
Consensus statement of the Movement Disorder Society on Tremor. Ad Hoc Scientific Committee.运动障碍协会关于震颤的共识声明。特设科学委员会。
Mov Disord. 1998;13 Suppl 3:2-23. doi: 10.1002/mds.870131303.
7
Tremor syndromes.震颤综合征
Continuum (Minneap Minn). 2013 Oct;19(5 Movement Disorders):1213-24. doi: 10.1212/01.CON.0000436153.01167.a6.
8
Orthostatic tremor: delayed onset following head trauma.直立性震颤:头部外伤后延迟发作。
Arch Phys Med Rehabil. 1993 Aug;74(8):886-9. doi: 10.1016/0003-9993(93)90017-5.
9
My hands shake--classification and treatment of tremor.我的双手颤抖——震颤的分类与治疗。
Aust Fam Physician. 2009 Sep;38(9):678-83.
10
Classification of tremor and update on treatment.震颤的分类及治疗进展
Am Fam Physician. 1999 Mar 15;59(6):1565-72.

本文引用的文献

1
Consensus Statement on the classification of tremors. from the task force on tremor of the International Parkinson and Movement Disorder Society.关于震颤分类的共识声明。来自国际帕金森病和运动障碍学会震颤工作组。
Mov Disord. 2018 Jan;33(1):75-87. doi: 10.1002/mds.27121. Epub 2017 Nov 30.
2
Deep brain stimulation for the treatment of uncommon tremor syndromes.深部脑刺激治疗罕见震颤综合征。
Expert Rev Neurother. 2016 Aug;16(8):983-97. doi: 10.1080/14737175.2016.1194756. Epub 2016 Jun 9.
3
Unusual tremor syndromes: know in order to recognise.
不常见的震颤综合征:了解以便识别。
J Neurol Neurosurg Psychiatry. 2016 Nov;87(11):1191-1203. doi: 10.1136/jnnp-2015-311693. Epub 2016 Mar 16.
4
Holmes tremor: Clinical description, lesion localization, and treatment in a series of 29 cases.霍姆斯震颤:29例病例的临床描述、病变定位及治疗
Neurology. 2016 Mar 8;86(10):931-8. doi: 10.1212/WNL.0000000000002440. Epub 2016 Feb 10.
5
Limb-shaking TIA: Cortical myoclonus associated with ICA stenosis.肢体抖动性短暂性脑缺血发作:与颈内动脉狭窄相关的皮质肌阵挛。
Neurology. 2016 Jan 19;86(3):307-9. doi: 10.1212/WNL.0000000000002293. Epub 2015 Dec 18.
6
Limb-Shaking TIA Presenting as Hemichorea-Hemiballismus: TIA Chameleons Diagnostic Challenge in the Emergency Department.表现为偏侧舞蹈症-偏侧投掷症的肢体抖动性短暂性脑缺血发作:急诊科中短暂性脑缺血发作的“变色龙”诊断挑战
J Stroke Cerebrovasc Dis. 2015 Nov;24(11):e327-31. doi: 10.1016/j.jstrokecerebrovasdis.2015.07.006. Epub 2015 Aug 30.
7
Myorhythmia: phenomenology, etiology, and treatment.Myorhythmia:现象学、病因和治疗。
Mov Disord. 2015 Feb;30(2):171-9. doi: 10.1002/mds.26093. Epub 2014 Dec 9.
8
A retrospective study of the clinical and electrophysiological characteristics of 32 patients with orthostatic myoclonus.一项对32例直立性肌阵挛患者临床及电生理特征的回顾性研究。
Parkinsonism Relat Disord. 2014 Aug;20(8):889-93. doi: 10.1016/j.parkreldis.2014.05.006. Epub 2014 May 22.
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A slow orthostatic tremor of primary origin.原发性缓慢直立性震颤。
Tremor Other Hyperkinet Mov (N Y). 2013 Apr 18;3. doi: 10.7916/D8057DNW. Print 2013.
10
Cerebellar learning distinguishes inflammatory neuropathy with and without tremor.小脑学习可区分伴有和不伴有震颤的炎性神经病。
Neurology. 2013 May 14;80(20):1867-73. doi: 10.1212/WNL.0b013e318292a2b8. Epub 2013 Apr 17.