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特发性震颤:五件新事。

Essential Tremor: Five New Things.

作者信息

Lenka Abhishek, Pandey Sanjay

机构信息

MedStar Georgetown University Hospital (AL), Washington, DC; and G.B. Pant Institute of Postgraduate Medical Education and Research (SP), New Delhi, India.

出版信息

Neurol Clin Pract. 2022 Apr;12(2):183-186. doi: 10.1212/CPJ.0000000000001145.

DOI:10.1212/CPJ.0000000000001145
PMID:35747894
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9208407/
Abstract

PURPOSE OF THE REVIEW

To highlight five new things in the research and clinical aspects of essential tremor (ET).

RECENT FINDINGS

The introduction of a new definition of ET and a new category "ET plus" were the major themes of the recent consensus statement. This new change demands a change in the approach to the clinical diagnosis of ET and related diseases. From the pathogenesis standpoint, the cerebellar neurodegenerative model seems to have abundant evidence in its favor compared with the olivary model, which has largely fallen out of favor. From the standpoint of therapeutics, magnetic resonance-guided focused ultrasound (MRgFUS) thalamotomy has enriched the therapeutic armamentarium.

SUMMARY

There has been considerable progress in the field of ET. We discuss five new things in this article, which include (1) new definition, (2) ET plus, (3) approach to the diagnosis of ET, (4) cerebellar degeneration, and (5) MRgFUS thalamotomy.

摘要

综述目的

强调特发性震颤(ET)研究和临床方面的五个新进展。

最新发现

ET新定义的引入以及“ET加”这一新类别是近期共识声明的主要主题。这一新变化要求改变ET及相关疾病的临床诊断方法。从发病机制角度来看,与已基本失宠的橄榄核模型相比,小脑神经退行性模型似乎有大量证据支持。从治疗角度而言,磁共振引导聚焦超声(MRgFUS)丘脑切开术丰富了治疗手段。

总结

ET领域取得了显著进展。我们在本文中讨论了五个新进展,包括(1)新定义,(2)ET加,(3)ET诊断方法,(4)小脑变性,以及(5)MRgFUS丘脑切开术。

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本文引用的文献

1
The Role of Focused Ultrasound in the Management of Movement Disorders: Insights after 5 Years of Experience.聚焦超声在运动障碍治疗中的作用:5年经验之见解
Mov Disord Clin Pract. 2021 Apr 23;8(5):681-687. doi: 10.1002/mdc3.13223. eCollection 2021 Jul.
2
The Essential Tremors: Evolving Concepts of a Family of Diseases.特发性震颤:一类疾病的不断演变的概念
Front Neurol. 2021 Mar 26;12:650601. doi: 10.3389/fneur.2021.650601. eCollection 2021.
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Essential Tremor versus "ET-plus": A Detailed Postmortem Study of Cerebellar Pathology.特发性震颤与“ET-plus”:小脑病理学的详细尸检研究。
Cerebellum. 2021 Dec;20(6):904-912. doi: 10.1007/s12311-021-01263-6. Epub 2021 Mar 25.
4
Focused Ultrasound Thalamotomy for Refractory Essential Tremor: A Japanese Multicenter Single-Arm Study.聚焦超声丘脑切开术治疗难治性特发性震颤:一项日本多中心单臂研究。
Neurosurgery. 2021 Mar 15;88(4):751-757. doi: 10.1093/neuros/nyaa536.
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Dentate Nucleus Neuronal Density: A Postmortem Study of Essential Tremor Versus Control Brains.齿状核神经元密度:特发性震颤与对照大脑的尸检研究。
Mov Disord. 2021 Apr;36(4):995-999. doi: 10.1002/mds.28402. Epub 2020 Dec 1.
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Neuroscience. 2021 May 10;462:262-273. doi: 10.1016/j.neuroscience.2020.11.002. Epub 2020 Nov 17.
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The Problem of Questionable Dystonia in the Diagnosis of 'Essential Tremor-Plus'.“特发性震颤合并症”诊断中可疑肌张力障碍问题。
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Isolated and combined genetic tremor syndromes: a critical appraisal based on the 2018 MDS criteria.孤立性和组合性遗传性震颤综合征:基于 2018 MDS 标准的批判性评估。
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