瓦尔酸诱导的可逆认知衰退呈现为痴呆症和相关的临床特征:文献综述
Rana Alnasser Alsukhni1, Jeremy Johnson1, Lina Nashef1
1The neurology department, King's College Hospital, London, UK, SE5 9RS.
Seizure
|July 29, 2023
概括
瓦尔酸诱导的可逆认知衰退 (VIRCD) 模仿痴呆症,但在停止药物治疗后会消失. 这种罕见的副作用,经常呈现帕金森特征,由于延长的潜伏期和缺乏脑病变,很容易被忽视.
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:
- 酸 (VPA) 是一种常见的抗发作药物.
- 罕见的副作用包括VPA诱导的脑病变和氨酸诱导的可逆认知衰退 (VIRCD).
- 人们对VIRCD的认识不足,可能被误认为是神经退行性痴呆症.
研究的目的:
- 审查关于VIRCD. 的文献.
- 描述VIRCD的临床特征.
- 为了比较VIRCD与VPA诱导的脑病变.
主要方法:
- 在PubMed中搜索"氨酸诱导 (痴呆症或认知障碍或认知衰退或认知功能障碍)".
- 包括VPA治疗后痴呆症患者,在VPA剂量调整后认知逆转.
- 将临床特征与已发表的VPA诱导脑病变病例进行比较.
主要成果:
- 分析了来自11个出版物的33个案例.
- 平均年龄为51.2岁;大多数患者患有,发作控制良好,没有脑病变.
- 共同特征包括帕金森症,短期记忆力缺陷和处理速度减慢;所有患者在停止使用VPA后完全康复.
结论:
- VIRCD模仿神经退行性痴呆症,但可以逆转.
- 延长的潜伏期和没有脑病变使VIRCD难以诊断.
- 考虑VIRCD在患有额外pyramidal标志的患者,特别是那些在VPA治疗.
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