最近审阅: 25 十月 2020
最近更新: 11 十二月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 颈部不自主扭转或偏斜
  • 颈疼痛
  • 感觉假象的存在
  • 异常头部姿势
  • 其他神经系统检查正常

其他诊断因素

  • 头部震颤
  • 慢性起病
  • 头痛
  • 颈部肌肉的不对称性肥厚
  • 颈部活动度 (ROM) 正常(病程早期)

危险因素

  • 女性
  • 中年(40 多岁和 50 多岁)
  • 白人血统
  • 获得性斜颈家族史
  • 使用多巴胺阻滞剂
  • 外伤史

诊断性检查

需考虑的检查

  • 颈部 X 光检查
  • 脑部 CT/MRI
  • 颈部 CT/MRI
  • DYT-1 基因
  • 血清铜蓝蛋白、尿铜排泄
  • 肌电图
更多 需考虑的检查

治疗流程

撰稿人

David B. Sommer

Neurologist and Movement Disorder Specialist

Reliant Medical Group

Worcester

MA

利益声明

DBS declares that he has no competing interests.

Dr David B. Sommer would like to gratefully acknowledge Dr Mark A. Stacy, a previous contributor to this topic. MAS has received speaking honoraria and consulting fees from Allergan, the manufacturer of Botox; he has received research grant support from Ipsen, manufacturer of Dysport, and Merz, manufacturer of Xeomin; he is an author of a reference cited in this topic. Duke University has received funding from Allergan for a continuing medical education program.

同行评议者展开全部内容

Professor and Chair

Department of Neurology

Wake Forest University Baptist Medical Center

Winston Salem

NC

利益声明

AB declares interests in Allergan; she is an author of a reference cited in this topic.

Professor

Chief of PM&R

Ann Arbor VA Medical Center

Ann Arbor

MI

利益声明

RW declares that he has no competing interests.

内容使用需遵循免责声明