图雷特综合征和慢性动障碍中的轴性动
José Fidel Baizabal-Carvallo1,2, Joseph Jankovic3
1Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX, USA. baizabaljf@hotmail.com.
涉及部,肩膀和干的轴性滴答在图雷特综合征 (TS) 和慢性滴答障碍 (CTD) 中很常见. 这些与增加的严重程度相关,并可能导致疼痛和睡眠问题等并发症.
科学领域:
- 神经学 神经学
- 运动障碍 运动障碍
- 图雷特综合征研究研究
背景情况:
- 滴滴是图雷特综合征 (TS) 和慢性滴滴疾病 (CTD) 的特征.
- 虽然经常从面部开始,但它们可以影响任何自愿肌肉,包括部,肩膀和干部的轴心肌肉.
- 了解轴心点滴对于全面的患者护理至关重要.
研究的目的:
- 在患有TS/CTD的患者中表征轴心滴.
- 探索轴心滴的关联和并发症.
- 为了解这些特定的表现提供临床框架.
主要方法:
- 根据DSM-5标准,审查了196名被诊断为TS或CTD的患者的视频记录和临床病史.
- 根据解剖学分布 (头部,肩膀,干部) 识别和分类轴心滴.
- 通过回归分析,分析了轴性,严重程度和其他类型之间的关联.
主要成果:
- 在75%的患者中存在轴性,通常影响头部 (57.6%),肩膀 (46.4%) 和干 (32.2%).
- 轴性滴滴与整体滴滴严重程度的增加有关 (P=0.018).
- 头部/部与简单的声音相关 (P=0.002),而肩部/干与复杂的运动相关 (P<0.05).
结论:
- 在TS/CTD中,轴滴很常见,表现出不同的现象学.
- 这些滴滴与增加滴滴严重程度和特定的其他滴滴类型有关.
- 并发症包括部疼痛,呼吸困难,睡眠障碍和椎问题.
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