标准操作规程：急性运动过度性运动障碍
SOP: acute hyperkinetic movement disorders.
作者信息
Sauerbier Anna, Gronostay Alexandra, Dafsari Haidar S
机构信息
Faculty of Medicine, Department of Neurology, University of Cologne, University Hospital Cologne, Cologne, Germany.
Department of Neurology, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
出版信息
Neurol Res Pract. 2023 Jul 27;5(1):35. doi: 10.1186/s42466-023-00260-w.
INTRODUCTION
Movement disorders emergencies describe acute-onset neurological conditions in which a delay of recognition and treatment may cause severe morbidity and mortality of patients. Hyperkinetic movement disorders include tremor, chorea/ballism, dystonia, myoclonus, and tics. Here we present a standard operating procedure (SOP) for the diagnostic work-up and different treatment options depending on the phenomenology as well as the aetiology of underlying diseases.
COMMENTS
The recognition of the phenomenology is essential for the symptomatic therapy of the acute movement disorder and forms the basis for the choice of ancillary investigations to confirm the suspected underlying causes. Furthermore, we summarise diagnostic techniques, including blood and cerebrospinal fluid tests and neuroimaging, which provide rapid results and are useful for the indication of causal treatments of specific acute movement disorders.
CONCLUSIONS
Despite their acute nature, most of these conditions can result in good clinical outcomes, if recognised early.
引言
运动障碍急症描述的是急性起病的神经系统疾病，其中识别和治疗的延迟可能导致患者出现严重的发病率和死亡率。运动过多性运动障碍包括震颤、舞蹈症/投掷症、肌张力障碍、肌阵挛和抽搐。在此，我们根据潜在疾病的现象学以及病因，介绍一种诊断检查的标准操作程序（SOP）和不同的治疗选择。
评论
现象学的识别对于急性运动障碍的对症治疗至关重要，并且是选择辅助检查以确认疑似潜在病因的基础。此外，我们总结了诊断技术，包括血液和脑脊液检查以及神经影像学检查，这些检查能提供快速结果，有助于明确特定急性运动障碍的病因治疗。
结论
尽管这些疾病具有急性性质，但如果能早期识别，大多数情况下可取得良好的临床疗效。
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