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膝部挫伤后无头部外伤引发的直立性震颤:一例罕见病例报告。

Orthostatic tremor after knee contusion without head trauma: A rare case report.

作者信息

Kim San-Ha, Han Jae-Young, Song Min-Keun, Choi In Sung, Park Hyeng-Kyu

机构信息

Department of Physical & Rehabilitation Medicine, Chonnam National University Hospital, Gwangju City, Republic of Korea.

Department of Physical & Rehabilitation Medicine, Regional Cardiocerebrovascular Center, Center for Aging and Geriatrics, Chonnam National University Medical School & Hospital, Gwangju, Republic of Korea.

出版信息

Turk J Phys Med Rehabil. 2022 Sep 14;69(1):111-115. doi: 10.5606/tftrd.2023.8718. eCollection 2023 Mar.

DOI:10.5606/tftrd.2023.8718
PMID:37201017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10186025/
Abstract

Orthostatic tremor (OT) is an uncommon progressive movement disorder that involves a leg tremor when standing or weight bearing. Additionally, OT can accompany other medical or neurodegenerative disorders. In this article, we report an unusual case of OT after trauma in an 18-year-old male patient whose symptoms of OT have been resolved after a multimodal therapeutic approach, including botulinum toxin injection. Surface electromyography, including a tremor recording, was used for the diagnosis of OT. The patient completely recovered after the rehabilitation. A comprehensive rehabilitative treatment is required in the management of OT as the patient's quality of life is greatly affected.

摘要

直立性震颤(OT)是一种罕见的进行性运动障碍,表现为站立或负重时腿部震颤。此外,OT可伴有其他医学或神经退行性疾病。在本文中,我们报告了一例18岁男性患者外伤后发生OT的不寻常病例,该患者经包括肉毒杆菌毒素注射在内的多模式治疗方法后,OT症状得到缓解。使用包括震颤记录在内的表面肌电图来诊断OT。患者经康复后完全康复。由于OT会严重影响患者的生活质量,因此在其治疗中需要进行全面的康复治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/475b/10186025/c9a3a78f73ea/TJPMR-2023-69-1-111-115-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/475b/10186025/c9a3a78f73ea/TJPMR-2023-69-1-111-115-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/475b/10186025/c9a3a78f73ea/TJPMR-2023-69-1-111-115-F1.jpg

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本文引用的文献

1
Slow Orthostatic Tremor: Review of the Current Evidence.缓慢直立性震颤:当前证据综述
Tremor Other Hyperkinet Mov (N Y). 2019 Nov 26;9. doi: 10.7916/tohm.v0.721. eCollection 2019.
2
Pathogenesis of Primary Orthostatic Tremor: Current Concepts and Controversies.原发性直立性震颤的发病机制:当前概念与争议
Tremor Other Hyperkinet Mov (N Y). 2017 Nov 17;7:513. doi: 10.7916/D8W66ZBH. eCollection 2017.
3
Comprehensive, blinded assessment of balance in orthostatic tremor.对直立性震颤中的平衡进行全面、盲法评估。
Parkinsonism Relat Disord. 2018 Feb;47:22-25. doi: 10.1016/j.parkreldis.2017.11.335. Epub 2017 Nov 16.
4
Orthostatic Tremor and Orthostatic Myoclonus: Weight-bearing Hyperkinetic Disorders: A Systematic Review, New Insights, and Unresolved Questions.直立性震颤和直立性肌阵挛:负重性运动亢进障碍:一项系统评价、新见解及未解决的问题
Tremor Other Hyperkinet Mov (N Y). 2016 Nov 18;6:417. doi: 10.7916/D84X584K. eCollection 2016.
5
Orthostatic Tremor: An Update on a Rare Entity.直立性震颤:一种罕见病症的最新情况
Tremor Other Hyperkinet Mov (N Y). 2016 Sep 22;6:411. doi: 10.7916/D81N81BT. eCollection 2016.
6
The Botulinum Toxin as a Therapeutic Agent: Molecular Structure and Mechanism of Action in Motor and Sensory Systems.肉毒杆菌毒素作为一种治疗剂:运动和感觉系统中的分子结构与作用机制
Semin Neurol. 2016 Feb;36(1):10-9. doi: 10.1055/s-0035-1571215. Epub 2016 Feb 11.
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Upper limbs spread of orthostatic tremor following hip replacement surgery.
Neurol India. 2014 Jul-Aug;62(4):462-3. doi: 10.4103/0028-3886.141280.
8
Orthostatic tremor: a review of 45 cases.直立性震颤:45 例病例回顾。
Parkinsonism Relat Disord. 2014 Jul;20(7):723-5. doi: 10.1016/j.parkreldis.2014.03.013. Epub 2014 Mar 21.
9
Safety and efficacy of botulinum toxin in primary orthostatic tremor.原发性直立性震颤中肉毒杆菌毒素的安全性和疗效。
J Clin Neurosci. 2013 Nov;20(11):1503-5. doi: 10.1016/j.jocn.2012.12.025. Epub 2013 Aug 6.
10
Orthostatic tremor - a review.直立性震颤——综述
Handb Clin Neurol. 2011;100:457-62. doi: 10.1016/B978-0-444-52014-2.00035-5.