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一名患有帕金森型多系统萎缩且伴有进行性小写症的患者。

A Patient with Multiple System Atrophy-Parkinsonian Type Presenting with Progressive Micrographia.

作者信息

Onder Halil, Cetin Beyza Nur, Comoglu Selcuk

机构信息

Neurology Clinic, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Türkiye.

出版信息

Asian J Neurosurg. 2024 Jun 10;19(2):277-279. doi: 10.1055/s-0043-1771319. eCollection 2024 Jun.

DOI:10.1055/s-0043-1771319
PMID:38974422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11226245/
Abstract

Herein, we present the case of a 57-year-old male patient who was admitted to our center due to progressive writing difficulty and slowness of his right hand over the last 3 years. In conclusion of the clinical and laboratory workup, a diagnosis of multiple system atrophy (MSA) was established. Our report on progressive micrographia (PM) constitutes a crucial sample remarking on this intriguing manifestation in another disease subtype of MSA, which differs from Parkinson's disease in terms of the clinical and pathophysiological processes. We think that further studies are warranted to clarify the significance of this entity in movement disorder in clinical practice and to reveal the underlying neural mechanisms.

摘要

在此,我们报告一例57岁男性患者,该患者因过去3年逐渐出现书写困难和右手活动迟缓而入住我院。综合临床和实验室检查结果,确诊为多系统萎缩(MSA)。我们关于进行性小写症(PM)的报告构成了一个关键样本,说明了MSA另一种疾病亚型中的这一有趣表现,其在临床和病理生理过程方面与帕金森病不同。我们认为有必要进行进一步研究,以阐明该实体在临床实践中运动障碍中的意义,并揭示其潜在的神经机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f7/11226245/d3117b41dc91/10-1055-s-0043-1771319-i22120028-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f7/11226245/d3117b41dc91/10-1055-s-0043-1771319-i22120028-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f7/11226245/d3117b41dc91/10-1055-s-0043-1771319-i22120028-1.jpg

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本文引用的文献

1
Diagnostic value of micrographia in Parkinson's disease: a study with [I]FP-CIT SPECT.帕金森病微写作症的诊断价值:一项使用[I]FP-CIT SPECT 的研究。
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The Movement Disorder Society Criteria for the Diagnosis of Multiple System Atrophy.运动障碍学会多系统萎缩诊断标准。
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The language profile in multiple system atrophy: an exploratory study.
多系统萎缩的语言特征:一项探索性研究。
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Neural substrates underlying progressive micrographia in Parkinson's disease.帕金森病进展性小写症的神经基础。
Brain Behav. 2020 Aug;10(8):e01669. doi: 10.1002/brb3.1669. Epub 2020 Jun 18.
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Clinicopathologic and genetic features of multiple system atrophy with Lewy body disease.路易体病相关性多系统萎缩的临床病理和遗传学特征。
Brain Pathol. 2020 Jul;30(4):766-778. doi: 10.1111/bpa.12839. Epub 2020 Apr 14.
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Neural correlates underlying micrographia in Parkinson's disease.帕金森病中微书写的神经关联。
Brain. 2016 Jan;139(Pt 1):144-60. doi: 10.1093/brain/awv319. Epub 2015 Nov 2.
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Micrographia and related deficits in Parkinson's disease: a cross-sectional study.帕金森病的书写困难及相关缺陷:一项横断面研究。
BMJ Open. 2012 Jun 25;2(3). doi: 10.1136/bmjopen-2011-000628. Print 2012.
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Hypokinesia without decrement distinguishes progressive supranuclear palsy from Parkinson's disease.运动减少不明显可将进行性核上性麻痹与帕金森病区分开来。
Brain. 2012 Apr;135(Pt 4):1141-53. doi: 10.1093/brain/aws038. Epub 2012 Mar 6.
10
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Acta Neuropathol. 2000 Jun;99(6):628-36. doi: 10.1007/s004010051173.