"Spooning": A Subtle Sign of Limb Dystonia.
"Spooning": A Subtle Sign of Limb Dystonia.
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DOI：
10.7916/d8b00nrv
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发表时间：
2018-01-01
期刊：
影响因子：
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通讯作者：
Louis, Elan D
中科院分区：
文献类型：
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作者：
Kim, Christine Y;Louis, Elan D
背景资料：肌张力障碍的诊断可能是临床上具有挑战性的，因为它的异质性表现;特发性震颤（ET）是一种更常见的神经系统疾病，但可能被其他运动障碍模仿，包括肌张力障碍，导致误诊。在三名手震颤患者中，其中两名先前诊断为ET，我们提出了手的“匙状”的例子，教育价值：在评估震颤患者时，可能会出现微妙的肌张力障碍特征，如“匙形”，并有助于诊断肌张力障碍。
Background: The diagnosis of dystonia can be clinically challenging due to its heterogeneous presentation; essential tremor (ET) is a more common neurological disorder, but may be mimicked by other movement disorders, including dystonia, leading to misdiagnosis.Phenomenology Shown: In three patients with hand tremor, two with prior diagnoses of ET, we present examples of "spooning" of the hands, characterized by wrist flexion and metacarpophalangeal hyperextension.Educational value: Subtle dystonic features such as "spooning" may be present during the evaluation of patients with tremor and aid in the diagnosis of dystonia.