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首页> 外文期刊>Journal of neurology >An overview of the patient with ataxia.
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An overview of the patient with ataxia.

机译:共济失调患者概述。

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摘要

Ataxia, a neurological sign characterized by the incoordination of voluntary movements, is the most prominent manifestation of cerebellar disease. The cardinal features of cerebellar dysfunction involve disturbances of stance, gait, eye movements, muscle tone, skilled movements, and speech. Classification and differential diagnosis of ataxic syndromes have intrinsic complexity owing to the variability in phenotypic presentations and in etiologies, which include trauma, toxic and metabolic causes, neoplasms, immune mechanisms, and genetic diseases. Pure cerebellar symptoms are rarely observed, while the clinical picture of both genetic and sporadic ataxia syndromes is sometimes complicated by the presence of extracerebellar neurological or multisystem extraneural pathology. Clinical presentation and assessment of the patients together with classification, genetic aspects, and principles in differential diagnosis of ataxias are briefly reviewed.
机译:共济失调是一种以不自主运动不协调为特征的神经系统症状,是小脑疾病的最主要表现。小脑功能障碍的主要特征包括姿势,步态,眼球运动,肌张力,熟练运动和言语障碍。由于表型表现和病因学的变化,共济失调综合征的分类和鉴别诊断具有内在的复杂性,其中包括创伤,毒性和代谢原因,肿瘤,免疫机制和遗传疾病。很少观察到纯小脑症状,而遗传性和散发性共济失调综合症的临床情况有时会由于小脑外神经系统疾病或多系统神经外病理的存在而变得复杂。简要回顾了患者的临床表现和评估以及共济失调的鉴别诊断的分类,遗传学方面和原则。

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