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迟发性运动障碍的鉴别诊断:综述

Differential diagnosis of tardive dyskinesia: an overview.

作者信息

Granacher R P

出版信息

Am J Psychiatry. 1981 Oct;138(10):1288-97. doi: 10.1176/ajp.138.10.1288.

DOI:10.1176/ajp.138.10.1288
PMID:6457534
Abstract

The author states that most psychiatrists should be able easily to recognize tardive dyskinesia. However, this disorder is a subset of a large variety of abnormal involuntary movements, some of which may resemble tardive dyskinesia. Others have serious implications if they are misdiagnosed as tardive dyskinesia. The author describes the characteristic features of a wide variety of abnormal involuntary movements, including parkinsonism, the dystonias, choreas and choreoathetosis, tremors, tics, stereotypies and mannerisms, oral-facial dyskinesias, and disorders with varied or complex manifestations. He emphasizes the differential diagnosis of tardive dyskinesia.

摘要

作者指出,大多数精神科医生应该能够轻松识别迟发性运动障碍。然而,这种病症是多种异常不自主运动的一个子集,其中一些可能类似于迟发性运动障碍。如果其他异常不自主运动被误诊为迟发性运动障碍,可能会产生严重后果。作者描述了多种异常不自主运动的特征,包括帕金森症、肌张力障碍、舞蹈症和舞蹈手足徐动症、震颤、抽搐、刻板动作和怪癖、口面部运动障碍以及表现多样或复杂的病症。他强调了迟发性运动障碍的鉴别诊断。

相似文献

1
Differential diagnosis of tardive dyskinesia: an overview.迟发性运动障碍的鉴别诊断:综述
Am J Psychiatry. 1981 Oct;138(10):1288-97. doi: 10.1176/ajp.138.10.1288.
2
Recognition and diagnosis of tardive dyskinesia.迟发性运动障碍的识别与诊断。
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[Tardive dyskinesia].
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A blinded study of the suppressibility of involuntary movements in Huntington's chorea, tardive dyskinesia, and L-dopa-induced chorea.一项关于亨廷顿舞蹈症、迟发性运动障碍和左旋多巴诱发的舞蹈症中不自主运动抑制性的双盲研究。
Clin Neuropharmacol. 1990 Jun;13(3):236-40. doi: 10.1097/00002826-199006000-00006.
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Facial dyskinesias.面部运动障碍
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Pharmacologic characteristics of Meige dystonia: differentiation from tardive dyskinesia.梅杰肌张力障碍的药理学特征:与迟发性运动障碍的鉴别
J Clin Psychiatry. 1982 Nov;43(11):445-6.
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Movement disorders in children: Tourette syndrome.儿童运动障碍:抽动秽语综合征。
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Recognition and differential diagnosis of tardive dyskinesia.迟发性运动障碍的识别与鉴别诊断。
Int J Psychiatry Med. 1989;19(2):133-44. doi: 10.2190/ce34-rxqr-9cc6-c3ay.
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Involuntary movement disorders.运动障碍性疾病
Neurol Clin. 1984 Feb;2(1):71-89.

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Prevalence of spontaneous dyskinesia in first episode, drug naive schizophrenia, and its relation to the positive and negative symptoms of schizophrenia.首发未用药精神分裂症患者中自发性运动障碍的患病率及其与精神分裂症阳性和阴性症状的关系。
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An exploratory study from eastern India on neurological soft signs and spontaneous movement disorders in schizophrenia spectrum disorders.一项来自印度东部的关于精神分裂症谱系障碍中神经软体征和自发运动障碍的探索性研究。
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3
Tardive dystonia. Prevalence, risk factors and clinical features.
迟发性肌张力障碍。患病率、危险因素及临床特征。
Ital J Neurol Sci. 1996 Dec;17(6):409-18. doi: 10.1007/BF01997715.
4
Tardive dystonia. Prevalence, risk factors, and comparison with tardive dyskinesia in a population of 200 acute psychiatric inpatients.迟发性肌张力障碍。200例急性精神科住院患者的患病率、危险因素及与迟发性运动障碍的比较
Eur Arch Psychiatry Clin Neurosci. 1995;245(3):145-51. doi: 10.1007/BF02193087.
5
Tardive dyskinesia: clinical correlation with computed tomography in patients aged less than 60 years.迟发性运动障碍:60岁以下患者的临床与计算机断层扫描相关性
J Neurol Neurosurg Psychiatry. 1983 Nov;46(11):1037-40. doi: 10.1136/jnnp.46.11.1037.
6
A comparison of purposeless movements in psychiatric patients treated with antipsychotic drugs, and normal individuals.使用抗精神病药物治疗的精神病患者与正常个体的无目的运动比较。
J Neurol Neurosurg Psychiatry. 1983 Jun;46(6):540-6. doi: 10.1136/jnnp.46.6.540.
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Blepharospasm: a case study comparison of trihexyphenidyl (Artane) versus EMG biofeedback.眼睑痉挛:苯海索(安坦)与肌电图生物反馈的病例对照研究
Biofeedback Self Regul. 1985 Jun;10(2):173-80. doi: 10.1007/BF01000752.