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中风后运动障碍中的小脑:一例提示脑血管急症的头部震颤病例。

The Cerebellum in Poststroke Movement Disorders: A Case of Head Tremor Indicating a Cerebrovascular Emergency.

作者信息

Vanood Aimen, McConnell Ruth H, Demaerschalk Bart M

机构信息

Department of Neurology, Mayo Clinic College of Medicine and Science, Phoenix, Arizona, USA.

Department of Radiology, Mayo Clinic College of Medicine and Science, Phoenix, Arizona, USA.

出版信息

Case Rep Neurol Med. 2025 Sep 2;2025:9145358. doi: 10.1155/crnm/9145358. eCollection 2025.

Abstract

Tremor is a common symptom encountered in outpatient practice, particularly within a neurology movement disorder clinic. However, tremor can also be pertinent to inpatient medicine and can warrant emergent evaluation. We describe a case of a 72-year-old female who developed acute onset postural head tremor without appendicular tremor during a hospital admission for chest pain and leukostasis. This case explores the localization of tremor and the differential diagnosis of head tremor specifically. Additionally, this report serves as a reminder to consider ischemic stroke in the diagnostic evaluation of acute onset neurological symptoms.

摘要

震颤是门诊实践中常见的症状,尤其是在神经科运动障碍门诊。然而,震颤在住院患者中也较为常见,需要紧急评估。我们描述了一例72岁女性患者,在因胸痛和白细胞淤滞住院期间,出现了急性姿势性头部震颤,而无肢体震颤。本病例专门探讨了震颤的定位以及头部震颤的鉴别诊断。此外,本报告提醒在急性发作的神经系统症状的诊断评估中要考虑缺血性中风。

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本文引用的文献

1
Diagnosis and Treatment of Essential Tremor.特发性震颤的诊断与治疗。
Continuum (Minneap Minn). 2022 Oct 1;28(5):1333-1349. doi: 10.1212/CON.0000000000001181.
2
Holmes tremor: an updated review.霍姆斯震颤:更新综述。
Neurol Sci. 2022 Dec;43(12):6731-6740. doi: 10.1007/s10072-022-06352-w. Epub 2022 Aug 25.
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Postural Directionality and Head Tremor in Cervical Dystonia.姿势方向性与颈部肌张力障碍中的头部震颤。
Tremor Other Hyperkinet Mov (N Y). 2020 Jan 20;10. doi: 10.7916/tohm.v0.745. eCollection 2020.
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Continuum (Minneap Minn). 2019 Aug;25(4):959-975. doi: 10.1212/CON.0000000000000748.
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