[Tremor in the elderly].

Charles Pierre Jedynak, Evelyne Diarra, Marc Verny
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引用次数: 2

Abstract

The various causes of tremor are considered by order of prevalence in the elderly. 1) Essential tremor occurs in 5% of the population beyond 65 years of age. It is characterized by a tremor accompanying muscle activity, and interesting, when complete, the two upper limbs, the head and the voice, with variable degree of severity. Its progression is very slow. The diagnostic criteria are only clinical, but require ruling out iatrogenic and metabolic causes. 2) Tremor in Parkinson's disease is opposed point by point to essential tremor. However, confusion may occur due to some intermediate clinical situations. In these cases, pharmacology or DaTSCAN data can help to distinguish between the two conditions. 3) Other causes are considered, giving the priority to practical and therapeutic aspects. The psychological consequences of tremor should be taken into account to improve the quality of life of patients with tremor. Terms which stigmatize, such as senile tremor, or terms which minimize the relational and social consequences of tremor, such as benign tremor, should be discarded.

[老年人的震颤]。
震颤的各种原因被认为是按患病率的顺序在老年人。1) 65岁以上人群中有5%患有特发性震颤。它的特征是伴随肌肉活动的震颤,并且有趣的是,当完整时,两个上肢,头部和声音,有不同程度的严重程度。它的发展非常缓慢。诊断标准仅为临床,但需要排除医源性和代谢性原因。2)帕金森病的震颤与原发性震颤是逐点对立的。然而,由于一些中间的临床情况,可能会出现混淆。在这些情况下,药理学或DaTSCAN数据可以帮助区分这两种情况。3)考虑其他原因,优先考虑实用和治疗方面的原因。应考虑震颤的心理后果,以提高震颤患者的生活质量。那些污名化的术语,如老年性震颤,或最小化震颤的关系和社会后果的术语,如良性震颤,应该被丢弃。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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