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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Re-Emergent Tremor without Accompanying Rest Tremor in Parkinson's Disease
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Re-Emergent Tremor without Accompanying Rest Tremor in Parkinson's Disease

机译：在帕金森氏病中不伴有静息震颤而重新出现的震颤

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A hallmark of Parkinson's disease (PD) is rest tremor,1 yet a variety of action tremors also occur in these patients.13 These action tremors are important because they are common and because motor disability in parkinsonism seems to correlate more with action than with rest tremor,1 making such tremors an under-appreciated target for treatment. Furthermore, PD patients with action tremor are commonly misdiagnosed as having essential tremor (ET), further adding to the importance of recognizing the variety of tremor phenomenologies seen in PD.Re-emergent tremor is a postural tremor that emerges after a variable latency of several (1-47, mean = 9.4) seconds and has a frequency typical of Parkinsonian resting tremor (4-6 Hz). It is thought to represent a re-emergence of Parkinsonian rest tremor. We report a patient with PD who had no tremor at rest yet whose main complaint was a disabling re-emergent tremor. To our knowledge, this has not been reported previously and it therefore further expands the spectrum of motor phenomenology that clinicians can encounter in their patients with PD.
机译：帕金森氏病（PD）的标志是静息震颤，1但这些患者也会发生多种动作震颤。13这些动作震颤之所以重要，是因为它们很常见，并且因为帕金森氏病中的运动障碍似乎与动作比静息更相关。震颤1，使这种震颤成为未得到充分重视的治疗目标。此外，患有动作震颤的PD患者通常被误诊为原发性震颤（ET），这进一步增加了认识PD所见的多种震颤现象的重要性。再发性震颤是一种姿势性震颤，在几次潜伏期后出现（1-47，平均值= 9.4）秒，并且具有帕金森氏静息性震颤的典型频率（4-6 Hz）。人们认为这代表了帕金森氏静息性震颤的重新出现。我们报道了PD患者，患者没有静息震颤，但主要诉状是致残性再发震颤。据我们所知，这尚未在以前报道过，因此它进一步扩大了临床医生在PD患者中可能遇到的运动现象学范围。

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