Departments of Neurology, Human Genetics and Pediatrics, Emory University, Atlanta, Georgia, USA.
Department of Neurology, Humanitas Research Hospital, Rozzano, Italy.
Mov Disord. 2018 Jan;33(1):21-35. doi: 10.1002/mds.27140. Epub 2017 Sep 1.
There are many rare movement disorders, and new ones are described every year. Because they are not well recognized, they often go undiagnosed for long periods of time. However, early diagnosis is becoming increasingly important. Rapid advances in our understanding of the biological mechanisms responsible for many rare disorders have enabled the development of specific treatments for some of them. Well-known historical examples include Wilson disease and dopa-responsive dystonia, for which specific and highly effective treatments have life-altering effects. In recent years, similarly specific and effective treatments have been developed for more than 30 rare inherited movement disorders. These treatments include specific medications, dietary changes, avoidance or management of certain triggers, enzyme replacement therapy, and others. This list of treatable rare movement disorders is likely to grow during the next few years because a number of additional promising treatments are actively being developed or evaluated in clinical trials. © 2017 International Parkinson and Movement Disorder Society.
有许多罕见的运动障碍,每年都会有新的类型被描述。由于它们未被很好地识别,因此常常长时间得不到诊断。然而,早期诊断变得越来越重要。我们对许多罕见疾病的生物学机制的理解迅速提高,使得一些疾病的特定治疗方法得以发展。著名的历史例子包括威尔逊病和多巴反应性肌张力障碍,针对这些疾病的特定和高度有效的治疗方法具有改变生活的效果。近年来,针对 30 多种罕见遗传性运动障碍,同样特定和有效的治疗方法也已得到发展。这些治疗方法包括特定的药物、饮食改变、避免或管理某些诱因、酶替代疗法等。在未来几年,这个可治疗的罕见运动障碍列表可能会增加,因为许多其他有前景的治疗方法正在积极开发或临床试验中进行评估。 © 2017 国际帕金森病和运动障碍学会。