抗精神病药物戒断的延迟表现 迟迟动力障碍症:一个病例报告
Siddhant Solanki1, Lakshmi Sai Deepak Reddy Velugoti2
1Department of Medicine, Tbilisi State Medical University, Tbilisi, GEO.
Cureus
|September 19, 2023
概括
迟性运动障碍 (TD) 是一种由抗精神病药物引起的阳性运动障碍. 这一案例突出显示,在药物停用后,老年患者的TD发病延迟,强调早期识别.
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:
- 迟性运动障碍 (TD) 是一种与长时间使用多巴胺相关药物相关的阳性运动障碍.
- 抗精神病药物是TD的常见原因,特点是重复的,非自愿的肌肉运动.
研究的目的:
- 在老年患者中报告延迟发作的晚期运动障碍病例.
- 强调早期识别和意识到潜在的延迟TD发作的重要性.
主要方法:
- 一个80岁的男性患者的病例报告,他患有多种并发症.
- 药物历史的审查,包括抗精神病药物 (Risperidone,Quetiapine) 和瓦尔酸盐.
- 观察症状的发展,包括抗精神病药物停用后的面部.
主要成果:
- 患者在停止服用抗精神病药物后三个月出现了口腔面部震.
- 包括CT头部和EEG在内的检查正常.
- 杜埃特拉贝纳被处方用于口腔面部震.
结论:
- 晚期动症的延迟发病是可能的,即使在药物停用后.
- 临床医生应在有相关药物病史的患者中保持对TD的高度怀疑指数.
- 早期发现和治疗TD对于患者的治疗结果至关重要.
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