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Evidence of a monoaminergic-cholinergic imbalance related to visual hallucinations in Lewy body dementia.

作者信息

Perry E K, Marshall E, Kerwin J, Smith C J, Jabeen S, Cheng A V, Perry R H

机构信息

MRC Neurochemical Pathology Unit, Newcastle General Hospital, Newcastle upon Tyne, U.K.

出版信息

J Neurochem. 1990 Oct;55(4):1454-6. doi: 10.1111/j.1471-4159.1990.tb03162.x.

DOI:10.1111/j.1471-4159.1990.tb03162.x
PMID:1697897
Abstract

Senile dementia of Lewy body type is characterized clinically by a relatively acute onset of fluctuating memory loss and confusion, frequently accompanied by visual hallucinations. Neurochemical analyses of temporal cortex has revealed a distinction between hallucinating and nonhallucinating patients in both cholinergic and monaminergic transmitter activities. In contrast with the cholinergic enzyme choline acetyltransferase, which was more extensively reduced in hallucinating individuals, serotonergic S2 receptor binding and both dopamine and serotonin metabolites were significantly decreased in nonhallucinating cases. These results suggest that an imbalance between monaminergic and cholinergic transmitters is involved in hallucinogenesis in the human brain.

摘要

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