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임상적 관점에서 본 Primary Dystonia와 Dystonia-plus Syndrome

Clinical View Points on Primary Dystonia and Dystonia-plus Syndrome

김희태
대한신경과학회 (Korean Neurological Association)|2004.12|대한신경과학회지 (Journal of the Korean Neurological Association)|제22권 제6호|pp. 569-576

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참고문헌

주제분류신경과학

초록

Abstract

Dystonia is a disorder of movement caused by involuntary, sustained muscle contractions affecting one or more sites of body, frequently causing twisting and repetitive movements, or postures. Dystonic movements and postures can produce a wide range of clinical presentations. Some distinguishing clinical features of dystonia can help the appropriate diagnosis of primary dystonia. The direction of contraction is almost consistent. Action dystonia and occupational dystonia are related to a movement or task-specific movement, respectively. Sensory tricks or gestes antagonistes are usually seen in patients with dystonia. Two types of tremors can be seen in patients with dystonia: a postural and/or action tremor that resembles essential tremor and a rhythmic expression of dystonic tremor. Sometimes dystonic tremor appears to be less regular and can be associated with myoclonus. Onset age of dystonia, body distribution and etiologies are important to correct diagnosis of primary dystonia. It is well known that the age of onset has important prognostic implications. This article highlights general concepts of phenomenology, classification that are relevant for the purpose a clinical diagnosis.

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관련 논문AI추천

가족력이 없는 원발성염전이긴장증 환자의 DYT1 유전자 돌연변이유한욱, 이명종, 이창선, 임주혁, 정선주대한신경과학회 · 대한신경과학회지2003 · 제21권 제2호근 긴장 이상증의 신경생리김재우대한임상신경생리학회 · Annals of Clinical Neurophysiology1999 · 제1권 제2호Hemiballism-Hemichorea-Orofacial dyskinesia가 병발한 환자 치험 1례손지영, 윤효진, 이기상, 이병주, 이성근대한한방내과학회 · 대한한방내과학회지2006 · 제27권 제4호Late-Onset Dystonia With THAP1 Mutation (DYT6) in South Korea: A Case Report and Literature Review김한준, 우경아, 전범석, Hee Jin Chang대한신경과학회 · Journal of Clinical Neurology2023 · 제19권 제2호연수출혈과 연관된 국소성 이긴장증공혜원, 구은정, 윤창호, 하충건대한신경과학회 · 대한신경과학회지2004 · 제22권 제6호외상 후 발생한 이상운동증 2예김영현, 서만욱, 신병수, 오선영대한신경과학회 · 대한신경과학회지2002 · 제20권 제3호

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