直立性震颤的临床特点分析
董亚茹;史利利;李安泰;
摘要(Abstract):
目的分析直立性震颤的临床特点,提高直立性震颤的早期诊断率。方法收集西安市中心医院神经内科住院的1例患者和国内报道的5例直立性震颤患者的临床资料,对6例患者的临床资料进行分析。结果直立性震颤的患者多为女性,缓慢起病,表现为站立时双下肢震颤,行走、坐位时消失,肌电图均呈直立位下肢出现高频震颤(1518Hz)。结论直立性震颤临床罕见,易误诊,对于下肢震颤的患者,临床医师应尽早完善肌电图检查,给予早期实验性治疗有助诊断。
关键词(KeyWords): 直立性震颤;肌电图;高频震颤;肌肉震颤;OT
基金项目(Foundation): 陕西省教育厅2014科学研究计划项目,编号:14JK1614
作者(Authors): 董亚茹;史利利;李安泰;
参考文献(References):
- [1]Heilman KM.Orthostatic tremor[J].Arch Neurol,1984,41:880-881.
- [2]Jamtahal A,Larner J.Shaky legs Think POT[J].Age Ageing,2009,38(3):352-353.
- [3]Ganos C,Maugest L,Apartis E,et al.The long-term outcome of orthostatic tremor[J].J Neurol Neurosurg Psychiatry,2016,87(2):167-172.
- [4]Krauss JK,Weigel R,Blahak C,et al.Chronic spinal cord stimulation in medically intractable orthostatic tremor[J].J Neurol Neurosurg Psychiatry,2006,77(9):1 013-1 016.
- [5]Wegner F,Strecker K,Boeckler D,et al.Intact serotonergic and dopaminergic systems in two cases of orthostatic tremor[J].J Neurol,2008,255(11):1 840-1 842.
- [6]Muthuraman M,Hellriegel H,Paschen S,et al.The Central Oscillatory Network of Orthostatic Tremor[J].Mov Disord,2013,28(11):1 424-1 430.
- [7]Benito-León J,Louis ED,Mato-Abad V,et al.In vivo neurometabolic profiling in orthostatic tremor[J].Medicine,2016,95(37):1-7.
- [8]Anhar Hassan J,Ahlskog E,Matsumoto JY,et al.Orthostatic tremor:Clinical,electrophysiologic,and treatment findings in 184patients[J].Neurology,2016,86(2):458-464.
- [9]Yarrow K,Brown P,Gresty MA,et al.Force platform recordings ing the diagnosis of primary orthostatic Tremor[J].Gait Posture,2001,13(1):27-34.
- [10]Wegner F,Strecker K,Boeckler D,et al.Intact serotonergic and dopaminergic systems in two cases of orthostatic tremor[J].J Neurol,2008,255(11):1 840-1 842.
- [11]Julian P,Rodrigues,Dylan J,et al.Gabapentin Can Improve Postural Stability and Quality of Life in Primary Orthostatic Tremor[J].Movement Disorders,2005,20(7):865-886.
- [12]Kelly B,Dharshana S,Max C,et al.Safety and efficacy of botulinum toxin in primary orthostatic tremor[J].J Clin Neurosci,2013,20(1):1 503-1 505.
- [13]Christian B,Tamara S,Hansjoerg B,et al.Long-term follow-up of chronic spinal cord stimulation for medically intractable orthostatic tremor[J].J Neurol,2016,16(4):8 239-8 244.