应该退休的extrapyramidal系统/症状/迹象
Abhishek Lenka1, Joseph Jankovic1
1Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX.
Neurology. Clinical practice
|May 29, 2024
概括
术语"额外金字塔症状" (EPS) 缺乏明确的定义,并受到神经病学家的批评. 研究人员建议退休EPS,并使用运动障碍的特定描述符.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 运动障碍 运动障碍
背景情况:
- 一个多世纪以来,术语"额外金字塔症状" (EPS) 和它的缩写在医学文献中被广泛使用.
- EPS缺乏精确的临床,解剖学和生理学定义,导致批评,特别是运动障碍专家.
研究的目的:
- 为了解决与术语"超体症状" (EPS) 相关的模两可和缺乏特异性.
- 倡导从科学文献中删除EPS这个术语.
- 促进对运动障碍的精确现象学描述的使用.
主要方法:
- 文献综述和对术语"额外金字塔症状" (EPS) 的批判性分析.
- 讨论传统的金字塔和非金字塔系统二分法的局限性.
- 基于运动障碍特征的替代术语的建议.
主要成果:
- 传统的分离金字塔和外金字塔系统的概念是不准确的,因为它们并不相互排斥.
- 缩写词EPS是非特定的,不充分地传达了药物诱导和其他运动障碍的性质和严重程度.
- 由于缺乏明确的科学基础,EPS术语受到越来越多的批评.
结论:
- 由于其固有的模糊性,术语"额外金字塔症状" (EPS) 应该从科学和临床使用中退休.
- 临床医生应采用特定的现象学描述符,以准确地描述低动力和高动力运动障碍.
- 采用精确的术语将提高诊断和讨论运动障碍的清晰度和准确性.
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