在成人发病的 dystonia 中传播的风险
Esra Kochan Kizilkilic1,2, Nursena Erener1, Mustafa Meric1
1Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Department of Neurology, Istanbul, Turkey.
成人发作的 dystonia 传播发生在约11%的患者中,在细分类型中更频繁. 发病时的年龄较大是 dystonia 传播模式的关键预测因素.
科学领域:
- 神经学 神经学
- 运动障碍 运动障碍
- 肺炎研究 肺炎研究 肺炎研究
背景情况:
- 成人发病的 dystonia 可以进展到影响身体的其他部位.
- 了解传播模式对于管理 dystonia 进展至关重要.
研究的目的:
- 调查影响成年发病例中 dystonia 传播的临床因素.
- 为了确定 dystonia 进展的预测因素.
主要方法:
- 对隔离性 dystonia 患者 (发病时间>18岁) 的医疗记录的回顾性分析.
- 患有和没有 dystonia 传播的患者之间的临床因素的比较.
- 对434名患者进行了长度随访.
主要成果:
- 11.1%的患者经历了 dystonia 传播.
- 发病时的年龄较大独立预测增加了传播的几率 (HR: 1.054,p < 0.001).
- 血发作,口发作,宫发作和喉发作是传播的常见焦点类型.
结论:
- 发病时的年龄较大是 dystonia 传播的重要危险因素.
- 对遗传因素的进一步研究是有必要的,以了解传播机制.
- 大约十分之一的 dystonia 患者经历了扩散,突出显示了监测的必要性.
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