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大脚趾张力亢进揭示帕金森病:一例报告

Hypertonia of the Big Toe Revealing Parkinson's Disease: A Case Report.

作者信息

Mahla Houssam, Rhoul Abdelilah, Gartit Mohammed, Yachaoui Souhail, El Oumri Ahmed Amine

机构信息

Physical Medicine and Rehabilitation, Mohammed VI University Hospital, Oujda, MAR.

Medicine and Pharmacy, Mohamed I University, Oujda, MAR.

出版信息

Cureus. 2024 Apr 13;16(4):e58203. doi: 10.7759/cureus.58203. eCollection 2024 Apr.

Abstract

Despite being less commonly discussed than other motor symptoms such as tremors and bradykinesia, hypertonia of the hallux holds diagnostic and prognostic significance in Parkinson's disease (PD). This motor anomaly is dissected within the context of the broader clinical spectrum of PD symptoms, emphasizing its importance alongside its cardinal symptoms. This case report underscores the importance of accurate clinical assessment especially thorough neurological evaluation in discerning hallux hypertonia, potentially enabling early disease recognition and intervention. By synthesizing these clinical insights, we trust that this case report contributes to an enhanced understanding of hypertonia of the hallux as a distinctive clinical presentation in PD fostering improved diagnostic precision.

摘要

尽管与震颤和运动迟缓等其他运动症状相比,拇趾张力亢进在帕金森病(PD)中较少被讨论,但它在PD中具有诊断和预后意义。这种运动异常在PD症状的更广泛临床范围内进行剖析,强调其与主要症状同样重要。本病例报告强调了准确临床评估的重要性,特别是在识别拇趾张力亢进时进行全面的神经学评估,这可能有助于早期疾病的识别和干预。通过综合这些临床见解,我们相信本病例报告有助于加深对拇趾张力亢进作为PD中一种独特临床表现的理解,从而提高诊断准确性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/11090378/fa0d94887cd0/cureus-0016-00000058203-i01.jpg

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