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体位性震颤见于特发性震颤患者,而静止性震颤为帕金森氏病的特征。这两种类型震颤同时存在,常造成诊断困难。作者对8例同时具有这两种震颤的患者进行了研究。男2例,女6例,年龄48～69岁,平均60岁。震颤持续时间为3～21年,平均10.6年。2例有特发性震颤阳性家族史,1例有帕金森氏病阳性家族史。这8例均有明显的体位性震颤和静止性震颤,并以前者较严重。从静止到维持一定体位时,震颤从未停止。震颤以单侧开始,随疾病进展而变为双侧,但仍不对称。其震颤频率为4～5赫兹,振幅分别为200～600微伏和400～1500微伏。仅见1例有双侧Babinski征,其余均无其它神经体征,除1例因支气管痉挛疾病未用心得安治疗外,均随机地先后以苯海索(每日10mg)、左旋多巴(每日
Postural tremor is found in patients with idiopathic tremor, and resting tremor is a hallmark of Parkinson’s disease. Both types of tremor exist at the same time, often causing diagnostic difficulties. The authors studied 8 patients with both tremor. 2 males and 6 females, aged 48 to 69 years old, average 60 years old. Tremor duration of 3 to 21 years, an average of 10.6 years. 2 patients had a positive family history of idiopathic tremor and 1 patient had a positive family history of Parkinson’s disease. All 8 patients had significant postural tremor and resting tremor, and the former is more serious. From rest to maintain a certain position, tremor has never stopped. Tremor starts with one side and becomes bilateral with the progress of the disease, but is still not symmetrical. The tremor frequency is 4 ~ 5 Hz, the amplitude is 200 ~ 600 microvolt and 400 ~ 1500 microvolt respectively. Only one case had bilateral Babinski sign, the rest were no other signs of neurological signs, except for 1 case of bronchial spasm disease without psychiatric treatment, were randomly followed by trihexyphenidyl (10mg daily), levodopa (daily