药物二次性运动障碍的概述
Jamir Pitton Rissardo1, Nilofar Vora2, Bejoi Mathew3
1Neurology Department, Cooper University Hospital, Camden, NJ 08103, USA.
Clinics and practice
|August 25, 2023
概括
药物诱导的运动障碍在临床环境中经常被忽视. 这篇综述详细介绍了药物和非法药物的异常运动,强调了诊断挑战和特定疾病,如肌和帕金森症.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 临床医学 临床医学
背景情况:
- 药物诱导的运动障碍 (DIMDs) 很普遍,但经常被诊断不足.
- 伴随性疾病,遗传学,环境和衰老使DIMD诊断和病理生理学复杂化.
- 标准分类系统包括精神疾病诊断和统计手册 (DSM) 和国际疾病分类 (ICD).
研究的目的:
- 审查与药物和非法药物相关的异常运动.
- 突出诊断挑战和对特定DIMDs的当前理解.
- 确定通常涉及DIMD的药物类别.
主要方法:
- 关于药物引起的异常运动的文献综述.
- 对各种DIMD的诊断标准和挑战进行分析.
- 对DIMD的分类系统的检查.
主要成果:
- 肌细胞的描述很差,往往缺乏用于神经解剖学定位的电诊断数据.
- 药物诱导的帕金森症需要进一步评估,可能使用放射性追踪剂.
- 晚期动力障碍和其他动力障碍的运动 (胆发病,肌,弹性运动) 是常见的.
- 抗发作药物和抗精神病药物经常与DIMD有关.
结论:
- 由于报告不足和诊断复杂性,DIMDs的准确诊断受到阻碍.
- 对于特定的DIMD,需要进一步的研究和标准化诊断方法,包括先进的成像.
- 抗和抗精神病药物是造成阴性运动障碍的主要原因.
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