1例抗精神病药所致单侧静坐不能伴睡眠中对侧周期性肢体运动。

A case of neuroleptic-induced unilateral akathisia with periodic limb movements in the opposite side during sleep.

作者信息

Yamashita H, Horiguchi J, Mizuno S, Kuramoto Y, Yamawaki S, Inami Y

机构信息

Department of Psychiatry and Neurosciences, Hiroshima University School of Medicine, Japan.

出版信息

Psychiatry Clin Neurosci. 1999 Apr;53(2):291-3. doi: 10.1046/j.1440-1819.1999.00524.x.

DOI:10.1046/j.1440-1819.1999.00524.x

PMID:10459715

Abstract

We report on a patient with schizoaffective disorder who developed unilateral akathisia. This is the first case report of a patient with neuroleptic-induced unilateral akathisia on whom an all-night polysomnogram was recorded. On the polysomnogram we observed right side periodic limb movements (PLM) with left side unilateral akathisia, and after her akathisia disappeared, the PLM also disappeared. Brain MRI findings and neurological findings were within normal limits. The pathogenetic lesion causing akathisia could not be elucidated.

摘要

我们报告了一例患有分裂情感性障碍且出现单侧静坐不能的患者。这是首例记录了整夜多导睡眠图的抗精神病药物所致单侧静坐不能患者的病例报告。在多导睡眠图上，我们观察到右侧周期性肢体运动（PLM）伴左侧单侧静坐不能，且在其静坐不能消失后，PLM也消失了。脑部MRI检查结果和神经学检查结果均在正常范围内。导致静坐不能的致病病变尚无法阐明。