头颈部运动引发的神经系统疾病。

IF 2.4 Q2 CLINICAL NEUROLOGY PRACTICAL NEUROLOGY Pub Date : 2024-11-17 DOI:10.1136/pn-2024-004160
Neil Watson
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引用次数: 0

摘要

神经科医生会遇到一系列由头颈部运动引发的神经系统疾病,反映出一系列潜在的病理变化,并产生不同的症状。本文以实践为导向,综述了 14 种疾病以及如何诊断和处理这些疾病,包括良性阵发性位置性眩晕等常见疾病,以及导致中风或晕厥的动脉压迫综合征、脑室内移动性肿块和药物戒断状态等不常见疾病。文章考虑了非典型情况,包括不寻常的表现和重要的拟态,并讨论了有争议的实体,以及根据偶然的成像异常对症状进行错误归因的风险。在有指南的情况下,文章会参考指南,而在罕见的情况下,文章会介绍已发表病例中采用的方法,并承认处理决定由临床医生自行做出。
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Neurological disorders provoked by head and neck movement.

Neurologists encounter a range of neurological disorders triggered by head and neck movement, reflecting an array of underlying pathologies and producing diverse symptoms. This article provides a practically orientated review of 14 disorders and how to diagnose and manage them, including common disorders such as benign paroxysmal positional vertigo and uncommon entities such as arterial compression syndromes leading to stroke or syncope, mobile intraventricular masses and medication withdrawal states. The article considers atypical scenarios including unusual manifestations and important mimics and discusses controversial entities, as well as the risk of misattributing symptoms based on incidental imaging abnormalities. Guidelines are referenced where they exist, while in rarer situations, approaches taken in published cases are described, with the acknowledgement that management decisions are at the clinician's discretion.

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来源期刊
PRACTICAL NEUROLOGY
PRACTICAL NEUROLOGY Medicine-Neurology (clinical)
CiteScore
3.70
自引率
3.60%
发文量
113
期刊介绍: The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.
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