Essential tremor.

Essential tremor.
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DOI:
10.1056/nejmcp010928
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发表时间:
2001-09-20
影响因子:
158.5
通讯作者:
Louis, ED
Louis, ED
中科院分区:
医学1区
文献类型:
--
作者:
Louis, ED

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一位66岁的妇女出现手部震颤。她第一次注意到轻微的震颤是在六年前,但在过去的两年里,震颤一直在恶化。它发生在她使用她的手,干扰日常生活的一些活动。例如,她再也不能喝汤而不洒出来,戴隐形眼镜,涂口红。作为一名作家,她不再能够手写或打字,而必须口述。这种震颤在社交场合中会引起很大的尴尬。该如何评估和治疗该患者?
A 66-year-old woman presents with tremor of the hands. She first noticed a mild tremor six years earlier, but the tremor has been worsening for the past two years. It occurs when she is using her hands, interfering with some activities of daily living. For example, she can no longer eat soup without spilling, put in her contact lenses, or apply lipstick. A writer, she is no longer able to write in longhand or type her manuscripts and must dictate them. The tremor causes a great deal of embarrassment in social situations. How should this patient be evaluated and treated?