基本和 dystonic 头部震:相似之处多于差异
Petr Hollý1, Tereza Duspivová2, David Kemlink1
1Department of Neurology and Center of Clinical Neuroscience, Charles University, Kateřinská 30, 128 21, Prague 2, Czech Republic.
区分基本震 (ET) 与头部震 (HT+) 与宫 dystonia (CD) 是一个挑战. 虽然震和动脉缩量表没有帮助,但HT+患者的SARA分数和STDT值增加表明小脑参与.
科学领域:
- 神经学 神经学
- 运动障碍 运动障碍
背景情况:
- 头部震是基本震 (ET) 和宫 dystonia (CD) 的常见症状.
- 区分ET和CD可能很困难,特别是当头部震是主要症状时.
研究的目的:
- 确定有效区分ET和CD的临床和仪器方法,在出现头部震的患者中.
主要方法:
- 评估了65名患者 (23名ET有头 (HT+),21名ET没有头 (HT-),21名CD有 dystonic头) 和22名对照.
- 使用了标准评级尺度 (TETRAS,TWSTRS,SARA) 和体感时间歧视值 (STDT).
主要成果:
- 与HT和CD组相比,HT+组的TETRAS和SARA分数在HT+组中升高.
- 头部震在大多数HT+和CD患者的卧卧姿势下消退.
- 与对照组相比,HT+组的STDT值显著更高.
结论:
- 震和动脉缩量表在区分头部震综合征方面没有效果.
- 躺卧时头部震的停止可能与两组的轻微震得分相关.
- 在HT+患者中,SARA分数和STDT的升高表明潜在的小脑干扰和改变的体感时间需要进一步研究.
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