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运动障碍的全球流行病学:罕见还是诊断不足?

Global Epidemiology of Movement Disorders: Rare or Underdiagnosed?

作者信息

O'Shea Sarah A, Shih Ludy C

机构信息

Department of Neurology, Columbia University, Vagelos College of Physicians and Surgeons, New York City, New York.

Department of Neurology, Boston University School of Medicine, Boston, Massachusetts.

出版信息

Semin Neurol. 2023 Feb;43(1):4-16. doi: 10.1055/s-0043-1764140. Epub 2023 Mar 9.

Abstract

In this manuscript, we review the epidemiology of movement disorders including Parkinson's disease (PD), atypical parkinsonism, essential tremor, dystonia, functional movement disorders, tic disorders, chorea, and ataxias. We emphasize age-, sex-, and geography-based incidence and prevalence, as well as notable trends including the rising incidence and prevalence of PD. Given the growing global interest in refining clinical diagnostic skills in recognizing movement disorders, we highlight some key epidemiological findings that may be of interest to clinicians and health systems tasked with diagnosing and managing the health of patients with movement disorders.

摘要

在本手稿中,我们回顾了运动障碍的流行病学,包括帕金森病(PD)、非典型帕金森综合征、特发性震颤、肌张力障碍、功能性运动障碍、抽动障碍、舞蹈症和共济失调。我们强调基于年龄、性别和地理位置的发病率和患病率,以及显著趋势,包括帕金森病发病率和患病率的上升。鉴于全球对提高识别运动障碍的临床诊断技能的兴趣日益浓厚,我们重点介绍了一些关键的流行病学发现,这些发现可能会引起负责诊断和管理运动障碍患者健康的临床医生和卫生系统的兴趣。

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