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首页> 外文期刊>BMC Neurology >Jaw tremor: a manifestation of vascular parkinsonism? - a case report
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Jaw tremor: a manifestation of vascular parkinsonism? - a case report

机译：颌骨震颤：血管帕金森症的表现？ -病例报告

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Vascular Parkinsonism (VP) is a heterogeneous group of conditions that manifest clinically in parkinsonian features, but are presumably of vascular cause. It is usually bilateral, non-tremulous, and frequently associated with pyramidal signs. Classically VP is described as lower body parkinsonism affecting predominantly the legs. A 67?years old lady presented with a history of acute onset jaw tremor, with tremor predominantly in both upper limbs. Neurological examination revealed hypomimia of the face with cogwheel rigidity and bradykinesia bilaterally, predominantly in the upper limbs without pyramidal signs. She had a marked tremor of the jaw at rest. When she was asked to open her mouth the tremor was re-emergent. Non contrast CT scan of her brain revealed an infarction in the region of putamen on the left with no evidence of diffuse subcortical white matter ischemia or extension to the caudate nucleus. She was treated with levodopa and responded well to medication. This case describes atypical clinical features which could be associated with VP including jaw tremor. This case also stresses the importance of initiating a trial of levodopa as certain patients may respond well to medication.
机译：血管性帕金森病（VP）是一组异质性疾病，临床上以帕金森氏症特征表现，但可能是血管性原因。它通常是双侧的，非颤抖的，并经常与锥体征相关。 VP通常被描述为主要影响腿部的下半身帕金森综合症。一位67岁的女士有急性下颌震颤的病史，主要发生在上肢的震颤。神经系统检查发现面部低视，双侧齿轮僵直，运动迟缓，主要在上肢无锥体束征。休息时她的下巴有明显的震颤。当她被要求张开嘴时，震颤再次出现。对她的大脑进行的非对比CT扫描显示左侧的壳核区域有梗塞，没有弥散性皮质下白质缺血或延伸至尾状核的迹象。她接受了左旋多巴治疗，对药物反应良好。该病例描述了可能与VP相关的非典型临床特征，包括颌骨震颤。该案例还强调了开始左旋多巴试验的重要性，因为某些患者可能对药物反应良好。

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