最近审阅: 27 十月 2020
最近更新: 18 十一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 姿势性和/或运动性震颤
  • 难以完成精细运动

其他诊断因素

  • 使用酒精、苯二氮平类药物、巴比妥类或加巴喷丁等药物后震颤减轻
  • 头部或嗓音震颤
  • 静止性震颤

危险因素

  • 高龄
  • 家族史
  • 白人血统
  • 暴露于环境毒素

诊断性检查

需考虑的检查

  • 头部 CT 或 MRI 扫描
  • 血清铜蓝蛋白水平
  • 24 小时尿铜
  • 甲状腺功能检查 (TFT)
  • 震颤生理学检查
  • 头部单光子发射计算机断层 (SPECT) 扫描
更多 需考虑的检查

新兴检查

  • 震颤稳定性指数
更多 新兴检查

治疗流程

撰稿人

Assistant Professor of Neurology

College of Physicians and Surgeons

Columbia University

New York

NY

利益声明

S-HK is an author of a number of references cited in this monograph.

Assistant Professor of Neurology

College of Medicine

National Taiwan University

Tapei

Taiwan

利益声明

M-KP declares that he has no competing interests.

Dr Sheng-Han Kuo and Dr Ming-Kai Pan would like to gratefully acknowledge Dr Zoltan Mari, Dr Martin Kronenbuerger, Dr Adam Burdick, and Dr Kelly D. Foote, previous contributors to this monograph. ZM has directed various educational programs, accredited (CME) by Johns Hopkins University, and has accepted honoraria for consulting. MK, AB, and KDF declare that they have no competing interests.

同行评议者展开全部内容

Pediatric Neurologist

Kinderneurologisches Zentrum Mainz

Mainz

Germany

利益声明

RW declares that he has no competing interests.

Assistant Professor of Neurosciences

Hotchkiss Brain Institute

University of Calgary

Alberta

Canada

利益声明

CT declares that he has no competing interests.

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