Colucci Fabiana, Carvalho Vanessa, Gonzalez-Robles Cristina, Bhatia Kailash P, Mulroy Eoin
Clinical and Biological Sciences Department, Neurology Unit San Luigi Gonzaga Hospital Turin Italy.
Department of Neurology Hospital Pedro Hispano/Unidade Local de Saúde de Matosinhos Matosinhos Portugal.
Mov Disord Clin Pract. 2021 Aug 26;8(7):1027-1033. doi: 10.1002/mdc3.13325. eCollection 2021 Oct.
Movement disorders affecting the trunk remain a diagnostic challenge even for experienced clinicians. However, despite being common and debilitating, truncal movement disorders are rarely discussed and poorly reviewed in the medical literature.
To review common movement disorders affecting the trunk and provide an approach for clinicians based on the truncal region involved (shoulder, chest, diaphragm, abdomen, pelvis, and axial disorders). For each disorder, clinical presentation, etiologic differential diagnosis, and "clinical clues" are discussed.
This review provides a clinically focused, practical approach to truncal movement disorders, which will be helpful for physicians in everyday practice.
即使对于经验丰富的临床医生来说,影响躯干的运动障碍仍然是一个诊断难题。然而,尽管躯干运动障碍常见且使人衰弱,但在医学文献中很少被讨论,且综述也很匮乏。
回顾影响躯干的常见运动障碍,并根据受累的躯干区域(肩部、胸部、膈肌、腹部、骨盆和轴性疾病)为临床医生提供一种方法。针对每种疾病,讨论了临床表现、病因鉴别诊断和“临床线索”。
本综述提供了一种以临床为重点、实用的躯干运动障碍处理方法,这将有助于医生在日常实践中应用。