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Related Experiment Videos

[Neuroleptic-induced movement disorders: historical perspectives].

M A Wolf1, R Yassa, P M Llorca

  • 1Centre Hospitalier Douglas, Centre de Psychiatrie Communautaire, 6875, boulevard LaSalle, Verdun, Québec, Canada, H4H 1R3.

L'Encephale
|November 1, 1993
PubMed
Summary

Neuroleptic-induced parkinsonism and tardive dyskinesia are neurological side effects of antipsychotic medications. Research has evolved, identifying risk factors like age and gender, but these conditions remain a therapeutic challenge.

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Area of Science:

  • Neurology
  • Psychopharmacology

Context:

  • The discovery of neuroleptics in the mid-20th century led to the identification of neurological side effects, specifically extrapyramidal symptoms.
  • Early descriptions of neuroleptic-induced parkinsonism date back to the 1950s, with ongoing debate about its nature as a side effect or therapeutic action.

Purpose:

  • To trace the historical emergence and characterization of neuroleptic-induced parkinsonism and tardive dyskinesia.
  • To review the evolution of terminology and understanding of these neurological side effects.
  • To summarize early epidemiological findings and evolving risk factors for tardive dyskinesia.

Summary:

  • Neuroleptic-induced parkinsonism was first described in the 1950s, coinciding with the introduction of neuroleptic drugs.
  • Tardive dyskinesia, characterized by persistent involuntary movements, was reported in the late 1950s and formally termed in 1964.

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  • Early epidemiological studies revealed wide prevalence rates, with later research highlighting older age and female gender as key risk factors.
  • Impact:

    • Understanding the historical context of these side effects is crucial for current clinical practice and research.
    • The persistent challenge of managing tardive dyskinesia underscores the need for safer antipsychotic alternatives.
    • Variations in clinical presentation and interest across regions may reflect differences in prescribing practices and medicolegal environments.