Consensus statement of the Movement Disorder Society on tremor
Consensus statement of the Movement Disorder Society on tremor
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DOI：
10.1002/mds.870131303
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发表时间：
1998-01-01
影响因子：
8.6
通讯作者：
Brin, M
中科院分区：
文献类型：
--
作者：
Deuschl, G;Bain, P;Brin, M
这是运动障碍协会对震颤临床分类的建议。分类是基于休息，姿势，简单的动力学和意图震颤（目标定向运动期间的震颤）之间的区别。来自病史的其他数据和神经系统检查的结果可以组合成本声明中定义的以下临床综合征之一：增强的生理性震颤、典型的特发性震颤（ET）、原发性直立性震颤、任务和位置特异性震颤、张力障碍性震颤、帕金森病（PD）中的震颤、小脑震颤、Holmes震颤、腭震颤、药物诱导的和毒性震颤，周围神经病中的震颤或心因性震颤。诸如震颤、持续性部分性癫痫、阵挛和节律性肌阵挛等情况可被误解为震颤。区分这些条件震颤的功能进行了描述。有争议的问题在每个项目的评论部分概述，从而反映了目前无法在科学基础上回答的开放问题。我们希望这一声明为在该领域工作的临床医生之间更好的沟通提供了基础，并刺激了震颤研究。
This is a proposal of the Movement Disorder Society for a clinical classification of tremors. The classification is based on the distinction between rest, postural, simple kinetic, and intention tremor (tremor during target-directed movements). Additional data from a medical history and the results of a neurologic examination can be combined into one of the following clinical syndromes defined in this statement: enhanced physiologic tremor, classical essential tremor (ET), primary orthostatic tremor, task- and position-specific tremors, dystonic tremor, tremor in Parkinson's disease (PD), cerebellar tremor, Holmes' tremor, palatal tremor, drug-induced and toxic tremor, tremor in peripheral neuropathies, or psychogenic tremor. Conditions such as asterixis, epilepsia partialis continua, clonus, and rhythmic myoclonus can be misinterpreted as tremor. The features distinguishing these conditions from tremor are described. Controversial issues are outlined in a comment section for each item and thus reflect the open questions that at present cannot be answered on a scientific basis. We hope that this statement provides a basis for better communication among clinicians working in the field and stimulates tremor research.