Milestones in Myoclonus

被引:30
作者
Shibasaki, Hiroshi [3 ,4 ]
Thompson, Philip D. [1 ,2 ]
机构
[1] Univ Adelaide, Adelaide, SA 5000, Australia
[2] Royal Adelaide Hosp, Adelaide, SA 5000, Australia
[3] Takeda Gen Hosp, Kyoto, Japan
[4] Kyoto Univ, Grad Sch Med, Kyoto, Japan
关键词
myoclonus; clinical features; physiology; molecular genetics; SOMATOSENSORY-EVOKED-POTENTIALS; ESSENTIAL PALATAL TREMOR; CORTICAL MYOCLONUS; PROPRIOSPINAL MYOCLONUS; GENETIC-HETEROGENEITY; STARTLE DISEASE; SODIUM OXYBATE; EPILEPSY; REFLEX; DYSTONIA;
D O I
10.1002/mds.23673
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This review examines some of the advances in understanding myoclonus over the last 25 years. The classification of myoclonus into cortical, brainstem, and spinal forms has been consolidated, each with distinctive clinical characteristics and physiological mechanisms. New genetic causes of myoclonus have been identified, and the molecular basis of several of these conditions has been discovered. It is increasingly apparent that disease of the cerebellum is particularly important in the genesis of cortical reflex myoclonus. However, the precise mechanism and origin of myoclonus in many situations remain uncertain. Effective treatment of myoclonus remains limited, and the challenge lies ahead to develop more therapeutic options. (C) 2011 Movement Disorder Society
引用
收藏
页码:1142 / 1148
页数:7
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