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纹状体以外区域对精神病症状出现的作用(临床及生化方面的人体尸检结果)

Responsibility of extrastriatal areas for the appearance of psychotic symptoms (clinical and biochemical human post-mortem findings).

作者信息

Birkmayer W, Riederer P

出版信息

J Neural Transm. 1975;37(2):175-82. doi: 10.1007/BF01663632.

DOI:10.1007/BF01663632
PMID:1185162
Abstract
  1. A Dopa-medication leads sometimes in Parkinsonian patients to a psychosis. 2. The diminished capacity of striatal dopaminergic neurons to store DA leads to a storage of DA in serotoninergic or noradrenergic neurons. 3. Extrastriatal noradrenergic and/or serotoninergic neurons are involved. 4. Dopaminergic receptors of the striatium are not involved because of a lack of kinetic response after L-Dopa application in Parkinsonian patients with akinetic crises. 5. Extrastriatal dopaminergic receptors of DA as "false transmitter" at serotoninergic receptors seem to be responsible for the production of psychotic symptoms, whereas noradrenaline is not responsible. Psychotic symptoms can be imagined to be triggered by a contact of a transmitter to a nonspecific receptor.
摘要
  1. 多巴胺药物治疗有时会导致帕金森病患者出现精神病症状。2. 纹状体多巴胺能神经元储存多巴胺的能力下降,导致多巴胺在5-羟色胺能或去甲肾上腺素能神经元中储存。3. 脑外去甲肾上腺素能和/或5-羟色胺能神经元参与其中。4. 纹状体的多巴胺能受体不参与,因为在患有运动不能危象的帕金森病患者中应用左旋多巴后缺乏动力学反应。5. 多巴胺作为“假递质”作用于5-羟色胺能受体的脑外多巴胺能受体似乎是产生精神病症状的原因,而去甲肾上腺素则不是。可以想象,精神病症状是由递质与非特异性受体的接触触发的。

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1
Responsibility of extrastriatal areas for the appearance of psychotic symptoms (clinical and biochemical human post-mortem findings).纹状体以外区域对精神病症状出现的作用(临床及生化方面的人体尸检结果)
J Neural Transm. 1975;37(2):175-82. doi: 10.1007/BF01663632.
2
Peculiarities of L: -DOPA treatment of Parkinson's disease.左旋多巴治疗帕金森病的特点。
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Adv Neurol. 1975;9:121-9.
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[Exogenous psychoses in Parkinson syndrome. Frequency and causal conditions].[帕金森综合征中的外源性精神病。发病率及病因]
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The effects of fast-off-D2 receptor antagonism on L-DOPA-induced dyskinesia and psychosis in parkinsonian macaques.D2 受体快速拮抗剂对帕金森病猴模型中左旋多巴诱导的运动障碍和精神症状的影响。
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Ann Med Psychol (Paris). 1983 Sep-Oct;141(8):843-57.

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Neuropsychiatr Dis Treat. 2023 May 30;19:1303-1312. doi: 10.2147/NDT.S371641. eCollection 2023.
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Management of Psychosis in Parkinson's Disease: Emphasizing Clinical Subtypes and Pathophysiological Mechanisms of the Condition.帕金森病精神病的管理:强调该病症的临床亚型和病理生理机制
Parkinsons Dis. 2017;2017:3256542. doi: 10.1155/2017/3256542. Epub 2017 Sep 12.
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Non-motor features of Parkinson disease.

本文引用的文献

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[L-tryptophan therapy of DOPA psychoses].[左旋色氨酸治疗多巴精神病]
Nervenarzt. 1972 Feb;43(2):76-8.
2
Brain dopamine and the syndromes of Parkinson and Huntington. Clinical, morphological and neurochemical correlations.脑多巴胺与帕金森综合征和亨廷顿综合征。临床、形态学及神经化学相关性
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帕金森病的非运动症状。
Nat Rev Neurosci. 2017 Jul;18(7):435-450. doi: 10.1038/nrn.2017.62. Epub 2017 Jun 8.
4
Psychosis in Parkinson's Disease: Epidemiology, Pathophysiology, and Management.帕金森病相关精神病:流行病学、发病机制与管理。
Drugs. 2016 Jul;76(11):1093-118. doi: 10.1007/s40265-016-0600-5.
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[Parkinson's disease and psychoses].[帕金森病与精神病]
Neuropsychiatr. 2015;29(1):1-13. doi: 10.1007/s40211-014-0132-8. Epub 2015 Jan 14.
6
Neuropathology and neurochemistry of nonmotor symptoms in Parkinson's disease.帕金森病非运动症状的神经病理学和神经化学。
Parkinsons Dis. 2011 Feb 17;2011:708404. doi: 10.4061/2011/708404.
7
New thoughts on thought disorders in Parkinson's disease: review of current research strategies and challenges.帕金森病思维障碍的新思考:当前研究策略与挑战综述。
Parkinsons Dis. 2011 Mar 2;2011:675630. doi: 10.4061/2011/675630.
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Pathophysiology and treatment of psychosis in Parkinson's disease: a review.帕金森病中精神病的病理生理学与治疗:综述
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Psychosis in Parkinson's disease.帕金森病中的精神病
Postgrad Med J. 2005 Oct;81(960):644-6. doi: 10.1136/pgmj.2004.032029.
10
Psychotic symptoms in Parkinson's disease. From description to etiology.帕金森病中的精神症状。从描述到病因
J Neurol. 2005 Jul;252(7):753-64. doi: 10.1007/s00415-005-0918-5.