帕金森病的前庭功能障碍:对症状和征兆的系统审查
Francisco Rosado-Martins1, Beatriz Santos1, Cláudia M Costa2
1CNS-Campus Neurológico, Torres Vedras, Portugal.
Movement disorders clinical practice
|August 25, 2025
概括
在帕金森病 (PD) 中,垂体功能障碍很常见,经常出现头之类的症状和鼻之类的症状. 建议使用经过验证的工具进行全面评估,以改善临床管理.
科学领域:
- 神经学
- 眼科 眼科
- 静脉系统科学
背景情况:
- 人们越来越关注帕金森病的神经病理与前庭系统的联系.
- 关于前庭功能障碍的存在和程度尚不达成共识.
- 这一审查解决了对前庭参与帕金森病的清晰度的需求.
研究的目的:
- 在帕金森病 (PD) 患者中识别和分类前体征和症状.
- 批判性地评估和总结用于评估前庭功能障碍的测量工具.
- 提供关于帕金森病前体问题的当前证据的全面概述.
主要方法:
- 在主要数据库 (MEDLINE,科学网络,Scopus,PEDro) 进行系统的文献搜索,直到2023年6月.
- 包括在PD中评估前庭体征或症状的实验和观察研究.
- 使用已确定的标准对测量工具进行临床评估.
主要成果:
- 包括104项研究,确定了238个前体征和27个前体征.
- 最常见的症状包括鼻,眼动力异常和前庭唤起肌性潜力的损伤.
- 头是最常见的症状 (63.0%);25种测量工具被归类为推或建议.
结论:
- 在帕金森病 (PD) 中,前置体征和症状很常见,需要进行彻底的评估.
- 使用验证和合适的测量工具对于准确的评估至关重要.
- 未来的研究应该探讨PD与前置系统的关系,症状的进展以及标准化的评估方案.
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