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目的分析帕金森病的误诊原因。方法回顾性分析被误诊的22例帕金森患者的临床资料,男16例,女6例,年龄49～80岁。22例患者均行头颅CT或MRI检查。结果帕金森病被误诊为脑梗死8例,老年痴呆7例,血管性帕金森综合征6例,颈椎病1例。结论坚持严格的帕金森病定义(静止性震颤、肌强直、运动迟缓、姿势步态异常)及应用左旋多巴试验性治疗有效,就会避免误诊。
Objective To analyze the causes of misdiagnosis of Parkinson’s disease. Methods The clinical data of 22 Parkinson patients who were misdiagnosed were retrospectively analyzed. There were 16 males and 6 females, aged 49-80 years. Twenty-two patients underwent head CT or MRI examination. Results Parkinson’s disease was misdiagnosed as cerebral infarction in 8 cases, Alzheimer’s disease in 7 cases, vascular Parkinson’s syndrome in 6 cases, cervical spondylosis in 1 case. Conclusions Insisting on the strict definitions of Parkinson’s disease (rest tremor, myotonia, bradykinesia, postural gait abnormalities) and the experimental treatment of levodopa effective, misdiagnosis will be avoided.