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癌症相关运动障碍:范围综述与诊断方法

英文原题:Cancer-related movement disorders: A scoping review and diagnostic approach.

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Cancer-related movement disorders: A scoping review and diagnostic approach.

PubMed 2025/06/16(内容时间) Neurooncol Pract Q3 · IF 2.5(JCR 2025)

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中文摘要

癌症相关运动障碍(CRMD)是一组多样的癌症相关神经系统并发症,病因各异,并可能损害生活质量、导致不良预后。CRMD可分为两大类:一类由癌症相关过程引起,如肿瘤直接浸润和副肿瘤性疾病;另一类由抗癌治疗导致,包括传统治疗(如化疗和放疗)、新型治疗(如免疫疗法和CAR-T 细胞疗法)以及各种支持治疗。准确理解CRMD的范围至关重要,因为有效管理有赖于正确识别其根本病因。本范围综述依据病因和临床表现对CRMD进行全面分类,并提出结构化框架以指导其诊断评估和管理,旨在促进及时诊断并最终改善患者结局。

展开英文摘要原文

Cancer-related movement disorders (CRMDs) comprise a diverse group of neurological complications of cancer. They result from varied etiologies and can be associated with compromised quality of life and poor prognosis. CRMDs can be divided into two broad categories: movement disorders resulting from cancer-related processes, such as direct tumor infiltration and paraneoplastic disease, and those that are a consequence of cancer-directed treatments, including classic therapies, such as chemotherapy and radiation therapy, novel treatments (eg immunotherapies and CAR T-Cell therapies), and various supportive treatments.

A clear understanding of the breadth of CRMDs is vital, as effective management relies upon accurately identifying their underlying etiology. In this scoping review, we provide a comprehensive categorization of CRMDs based on their underlying etiology and phenomenology.

Additionally, we propose a structured framework to guide the diagnostic evaluation and management of CRMDs, with the goal of facilitating timely diagnosis and, ultimately, improved patient outcomes.

论文信息

作者
Schroeder LE、Snow E、Chen C、Addo A、Mohammadzadeh N、Recht L、Alhusaini S
单位
The Neurology Department, Alpert Medical School of Brown University, Providence, Rhode Island.
文献类型
综述
期刊
Neuro-oncology practice2025 Dec
原文标识
PubMed 41458935 · DOI 10.1093/nop/npaf062