中国现代神经疾病杂志 ›› 2024, Vol. 24 ›› Issue (7): 573-578. doi: 10.3969/j.issn.1672-6731.2024.07.012

• 综述 • 上一篇    下一篇

2 功能性震颤的电生理诊断

陈琳, 潘华*()   

  1. 100070 首都医科大学附属北京天坛医院神经病学中心
  • 收稿日期:2024-06-05 出版日期:2024-07-25 发布日期:2024-08-01
  • 通讯作者: 潘华
  • 基金资助:
    北京亦城合作发展基金会2023年罕见病科研课题资助公益项目(YCXJ-JZ-2023-017)

Electrophysiological diagnosis of functional tremor

Lin CHEN, Hua PAN*()   

  1. Center of Neurology, Beijing Tiantan Hospital, Capital Medical Universiry, Beijing 100070, China
  • Received:2024-06-05 Online:2024-07-25 Published:2024-08-01
  • Contact: Hua PAN
  • Supported by:
    Beijing E-Town Cooperation & Development Foundation Rare Disease Research Project Funded for Public Welfare Projects in 2023(YCXJ-JZ-2023-017)

摘要:

功能性震颤是功能性运动障碍的最常见亚型,目前尚无诊断“金标准”,多数临床表现与器质性震颤重合,易误诊、误治。特征性电生理学表现可提供客观、可重复的诊断信息,有效补充病史和体格检查,也可用于与器质性震颤的鉴别诊断。本文综述功能性震颤电生理学特征及其在诊断与鉴别诊断中的应用,以提高临床对疾病的认识。

关键词: 转换障碍, 震颤, 电生理学, 综述

Abstract:

Functional tremor is the most common subtype of functional movement disorder (FMD). At present, there is no "gold standard" for diagnosis. Most clinical manifestations coincide with organic tremor, which can easily lead to misdiagnosis and mistreatment. Characteristic electrophysiological manifestations can provide objective and repeatable diagnostic information, effectively supplement the history and physical examination, and can also be used in the differential diagnosis from organic tremor. This article reviews the electrophysiological characteristics of functional tremor and its application in diagnosis and differential diagnosis, in order to improve the clinical understanding of this disease.

Key words: Conversion disorder, Tremor, Electrophysiology, Review