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家族性震颤又称遗传性震颤和原发性震颤。通常认为震颤是本病的唯一症状,但笔者发现并非如此。现就所遇该病4个家系32例患者的临床表现报告如下: 1 临床资料 1.1 家族A 该家系三代21人中8人患病,分别是Ⅰ_1、Ⅰ_2、Ⅱ_3(女)、Ⅱ_4(先证者)、Ⅱ_5、Ⅱ_6(女)、Ⅲ_1、Ⅲ_2。均于20～35岁出现肢体震颤,病初为单侧或双下肢不能进行精细动作,注意力集中时震颤明显,以后病情逐年加重,发展到四肢及头部,走路不稳。其中Ⅰ_1、Ⅱ_1、Ⅱ_4、Ⅱ_5、Ⅱ_6于30～50岁出现精神症状,为间歇发作的昼夜不眠、幻觉、错觉、吵闹不宁,思维混乱,语无伦次。
Familial tremor, also known as hereditary tremor and primary tremor. Tremor is usually considered the only symptom of the disease, but I found that is not the case. Now encounter the disease in 4 families of 32 patients with clinical manifestations are as follows: 1 Clinical data 1.1 Family A The family of three generations of 21 people in 8 were ill, were Ⅰ_1, Ⅰ_2, Ⅱ_3 (female), Ⅱ_4 ), Ⅱ_5, Ⅱ_6 (female), Ⅲ_1, Ⅲ_2. Limb tremor occurred in 20 to 35 years old, the beginning of the disease is unilateral or both lower extremities can not be fine movements, tremor when the concentration is obvious, and later aggravate the condition, developed to limbs and head, walking instability. Including Ⅰ_1, Ⅱ_1, Ⅱ_4, Ⅱ_5, Ⅱ_6 in 30 to 50-year-old mental symptoms, intermittent episodes of sleeplessness day and night, hallucinations, delusions, noisy, disorganized thinking, incoherent.