Hagenah J, Kahl K G, Steinlechner S, Lencer R, Klein C
Klinik für Neurologie, Universität Lübeck.
Nervenarzt. 2005 Apr;76(4):418-25. doi: 10.1007/s00115-004-1799-z.
Hypersalivation (sialorrhea) is a common complaint of patients with neurodegenerative disorders such as Parkinson's disease or amyotrophic lateral sclerosis and a frequently disabling side effect of atypical antipsychotic drugs. Conventional treatment including oral anticholinergic or antihistamine medication is often limited by adverse effects and lack of efficacy. Over the past few years, several studies reported decreased drooling after injections of botulinum toxin into the salivary glands. This review describes the current state of treatment of sialorrhea with botulinum toxin.
流涎过多(唾液分泌过多)是帕金森病或肌萎缩侧索硬化等神经退行性疾病患者的常见主诉,也是非典型抗精神病药物常见的致残性副作用。包括口服抗胆碱能或抗组胺药物在内的传统治疗方法往往受到不良反应和疗效不佳的限制。在过去几年中,多项研究报告称,向唾液腺注射肉毒杆菌毒素后流口水减少。这篇综述描述了肉毒杆菌毒素治疗流涎过多的现状。