Hildebrand J
Service de Neurologie, Hôpital Erasme, Bruxelles.
Rev Med Brux. 1994 Jul-Aug;15(4):267-9.
Tremor (Tr) is an involuntary rhythmic movement disorder. Its causes are multifold. The physiopathogenesis is complex and only partially understood. The classification, based on clinical grounds distinguishes: 1) Physiological Tr at 8-12 Hz, postural, involving the limbs; 2) Essential Tr at 8 Hz, often familial, postural, involving the limbs; 3) Parkinsonian Tr at 4-6 Hz, present at rest, rarely isolated, often asymmetrical, involving the limbs, sometimes the jaw; 4) Cerebellar Tr at 3-4 Hz, maximal at the end of limb movements. Therapy is based on this classification. The main points for the diagnosis are age of onset, associated signs, toxic factors and heredity.
震颤（Tr）是一种不自主的节律性运动障碍。其病因是多方面的。生理发病机制复杂，仅部分为人所知。基于临床依据的分类如下：1）8 - 12赫兹的生理性震颤，为姿势性，累及四肢；2）8赫兹的特发性震颤，常为家族性，姿势性，累及四肢；3）4 - 6赫兹的帕金森病性震颤，静止时出现，很少单独存在，常不对称，累及四肢，有时累及下颌；4）3 - 4赫兹的小脑性震颤，在肢体运动末端最为明显。治疗基于这种分类。诊断的要点包括发病年龄、相关体征、毒性因素和遗传因素。
