BMJ Best Practice
最后审核时间: 七月 2019
最近更新时间: 四月 2019

小结

定义

病史和查体

关键诊断因素

  • 颈部不自主扭转或偏斜
  • 颈疼痛
  • 感觉假象的存在
  • 异常头部姿势

其他诊断因素

  • 头部震颤
  • 慢性起病
  • 头痛
  • 颈部肌肉的不对称性肥厚

危险因素

  • 女性
  • 中年(40 多岁和 50 多岁)
  • 白人血统
  • 获得性斜颈家族史

诊断性检查

需要考虑的检查

  • 颈部 X 光检查
  • 脑部 CT/MRI
  • 颈部 CT/MRI
  • DYT-1 基因
全部具体信息

治疗流程

贡献者

David B. Sommer MD, MPH

Neurologist and Movement Disorder Specialist

Reliant Medical Group

Worcester

MA

利益冲突披露
DBS declares that he has no competing interests.

Dr David B. Sommer would like to gratefully acknowledge Dr Mark A. Stacy, a previous contributor to this topic. MAS has received speaking honoraria and consulting fees from Allergan, the manufacturer of Botox; he has received research grant support from Ipsen, manufacturer of Dysport, and Merz, manufacturer of Xeomin; he is an author of a reference cited in this topic. Duke University has received funding from Allergan for a continuing medical education program.

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Professor and Chair

Department of Neurology

Wake Forest University Baptist Medical Center

Winston Salem

NC

利益冲突披露
AB declares interests in Allergan; she is an author of a reference cited in this topic.

Professor

Chief of PM&R

Ann Arbor VA Medical Center

Ann Arbor

MI

利益冲突披露
RW declares that he has no competing interests.

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