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目的了解节律性运动障碍(rhythmic movement disorder,RMD)的临床表现、诊断和治疗,减少误诊误治。方法报告1例RMD患者的临床资料并复习文献。结果 RMD是一种与睡眠相关的运动障碍,婴幼儿多见,青春期和成年罕见。临床主要表现为撞头、摇头或身体摆动,以撞头最常见,少数累及肢体,患者有一种或一种以上的运动形式,运动频率0.5～2Hz,每次发作持续数分钟～15min,每晚发作数次至10余次,易与夜间癫痫发作混淆,多导睡眠图监测能帮助诊断,对小剂量氯硝安定治疗敏感。结论 RMD并非罕见,提高认识是减少误诊误治的关键。
Objective To understand the clinical manifestation, diagnosis and treatment of rhythmic movement disorder (RMD) and to reduce the misdiagnosis and mistreatment. Methods One case of RMD was reviewed and reviewed. Results RMD is a sleep-related dyskinesia, infants and young children more common, adolescent and adulthood rare. The main clinical manifestations of head, shaking his head or body swing to hit the most common, a few involving the limbs, patients have one or more forms of exercise, exercise frequency 0.5 ~ 2Hz, each episode lasts for minutes ~ 15min, nightly Episodes several times to more than 10 times, easily confused with nighttime seizures, polysomnography monitoring can help diagnose small doses of clonazepam sensitive treatment. Conclusion RMD is not uncommon, raising awareness is the key to reduce misdiagnosis and mistreatment.