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帕金森病在发作性睡病患者中的发展。

Development of Parkinson's disease in patients with Narcolepsy.

机构信息

Department of Neurology, University of California, San Francisco, 400 Parnassus Avenue, Box 0348, San Francisco, CA 94143, USA.

出版信息

J Neural Transm (Vienna). 2012 Jun;119(6):697-9. doi: 10.1007/s00702-011-0761-z. Epub 2012 Jan 10.

DOI:10.1007/s00702-011-0761-z
PMID:22231845
Abstract

Although amphetamine drugs can damage dopaminergic axons, it is unknown whether chronic treatment with amphetamine increases the risk of developing Parkinson's disease (PD). Of 1,152 consecutive PD patients, 3 had a prior diagnosis of narcolepsy. This rate is five times higher than expected (p = 0.02). These patients had typical onset of narcolepsy and underwent treatment with amphetamine. Although preliminary, this observation raises the possibility that some factors intrinsic to narcolepsy or its treatment may be a risk factor for PD.

摘要

尽管安非他命类药物会损伤多巴胺能轴突,但目前仍不清楚长期使用安非他命是否会增加帕金森病(PD)的发病风险。在 1152 例连续 PD 患者中,有 3 例先前被诊断为发作性睡病。这一比例是预期的五倍(p = 0.02)。这些患者具有典型的发作性睡病发病特征,并接受了安非他命治疗。尽管这一观察结果尚属初步,但它提示了发作性睡病或其治疗中某些内在因素可能是 PD 的一个危险因素。

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2
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[Narcolepsy: a new perspective on diagnosis and treatment].发作性睡病:诊断与治疗的新视角
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Sleep Attacks in Patients With Parkinson's Disease on Dopaminergic Medications: A Systematic Review.帕金森病患者使用多巴胺能药物时的睡眠发作:一项系统评价
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本文引用的文献

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Is methamphetamine abuse a risk factor in parkinsonism?甲基苯丙胺滥用是帕金森综合征的一个风险因素吗?
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