晚期宫 dystonia 的临床演变从前到后
Octávia Costa1, Sara Varanda1, Gisela Carneiro1
1Neurology Department, Hospital de Braga, Braga, PRT.
Cureus
|June 7, 2023
概括
晚期 dystonia,一种运动障碍,可以从抗精神病药物使用中发展. 这一案例突出了一个患有阿尔茨海默氏症痴呆症的患者,他在奥兰扎宾治疗后经历了,强调了痴呆症患者小心选择药物.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 晚期 dystonia 是一种运动障碍,与多巴胺基因受体阻断药物有关.
- ,一种严重的宫性 dystonia 的形式,显著影响患者的生活质量.
- 阿尔茨海默氏症痴呆症患者的药物诱导运动障碍的风险增加.
研究的目的:
- 在患有阿尔茨海默氏症痴呆症的患者中报告晚期 dystonia 呈现为 anterocollis 的病例.
- 讨论使用 olanzapine 和晚期 dystonia 的发展之间的关系.
- 突出管理策略和考虑在痴呆症中使用抗精神病药物的考虑.
主要方法:
- 一个61岁的阿尔茨海默氏症痴呆症妇女的病例报告.
- 详细的病史,包括抗精神病药物 (奥兰扎宾) 的暴露.
- 临床观察 dystonic 姿势, akathisia 和对药物反应的变化.
主要成果:
- 患者在经过两年 olanzapine 治疗后出现了 anterocollis 和严重的 akathisia.
- 静态姿势暂时通过普罗波得到缓解,但复发.
- 暂停 olanzapine 和启动其他药物导致部分改善宫姿势和 akathisia.
结论:
- 在患有潜在痴呆症的患者中, olanzapine 可能会导致晚期 dystonia.
- 痴呆症是发展药物诱导运动障碍的危险因素.
- 对于痴呆症患者,建议仔细选择具有较低额外皮拉米德副作用概况和非药物方法的抗精神病药物.
关键词:
这是阿尔茨海默氏症痴呆症.抗精神病药物治疗药物.宫性 dystonia 宫性 dystonia 宫性 dystonia 宫性 dystonia 宫性 dystonia 宫性 dystonia 宫性 dystonia 宫性 dystonia 宫性 dystonia 宫性 dystonia 宫性 dystonia 宫性 dystonia 宫性 dystonia 宫性 dystonia奥兰扎的副作用晚期的 dystonia 是一个晚期的 dystonia.更多相关视频
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