以前被监禁的退伍军人:一种药物诱导的帕金森症病例
Brian R Bailey1, Ashley Mason2, Vien Dinh3
1Emergency Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Clearwater, USA.
Cureus
|January 6, 2026
概括
药物诱导的晚发性帕金森症 (DIP) 是罕见的,但即使在长期使用抗精神病药物后也可能发生. 定期的药物检查对于预防易受伤害的患者严重的额外皮拉米德性副作用 (EPS) 至关重要.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 药物诱导的帕金森症 (DIP) 是已知的抗精神病药物的外皮拉米德性副作用 (EPS).
- DIP通常在治疗的早期表现出来,但晚期发病的情况是可能的.
- 长期使用抗精神病药物,特别是没有定期监测,会增加风险.
研究的目的:
- 报告长期使用Risperidone的DIP晚发病的罕见病例.
- 突出精神病患者警药物管理的重要性.
- 为了区分DIP与异常性帕金森病.
主要方法:
- 一个64岁的男性退伍军人患有精神分裂症,接受了RISPERIDONE治疗40年的病例报告.
- 临床表现和神经学检查结果.
- 治疗涉及Risperidone逐渐减少,热素,和阿里皮普拉开始.
主要成果:
- 患者呈现了硬性,肌痛性关节障碍和消化障碍,与DIP一致.
- 神经学检查显示,牙轮硬,言语缓慢,以及神经功能障碍.
- 随着药物调整,症状显著改善.
结论:
- 尽管几十年来一直使用抗精神病药物,但仍可能出现晚期发病的DIP.
- 定期的精神科随访和药物审查对于预防严重的EPS至关重要.
- 这一案例强调了需要对像退伍军人这样的弱势群体进行谨慎管理的需要.
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